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1993_1011_packet
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1993_1011_packet
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10/13/2011 10:17:47 AM
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Minnesota Lawful GambUng <br /> Organization Affidavit <br /> SIAM OF AFFIDA rr OF QUALIFICATION <br /> S.S. OF OFFICERS FOR <br /> ORGANMAMON LICENSE <br /> CCKJNTY OF 4A 0 AND CONSENT STATEMENT <br /> t to Minnesota Statute 349.16,Subd. e) <br /> 1?11".U C me r>1 5CL0Q.'r- ,under oath state that within the pious <br /> (WpOoint name) five ve years: <br /> 1. I have mx been convicted in a federal or state court of a felony or gross misdemeanor. <br /> I I hm never been convicted of a crime involving gambling. <br /> 3. I have not had a license iced by the Lawful Gambling Control Board or Dfiwtor revoked for a <br /> violadm of law or board rule., <br /> in addition,I understand,agree and hereby irrevocably consent that suits and actions relating to the subject nma=of the <br /> fi=se application*or acts or omm" w" ns arising from such appli <br />
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