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1992_0928_packet
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1992_0928_packet
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10/28/2011 11:24:01 AM
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7-URTHER AFFIANT SAY'ET'H NOT', exc�ept that this Affidavit, and Consent Statement, are submitted 'in support of the <br />-i-pplication, for bingo hall license apipliciiat,ion from the Lawful Gia,mbling i trol, Bo <br />Slubscribed and sworn to belforel me this (Signature of applicant 4M�.Wa,l Personnel) <br />F <br />N�a,mel of Bingo Hall <br />Illill : I <br />&4 <br />Bingo Hiall License Number <br />day of <br />Oil <br />III ., <br />Notary Pubilic <br />My Commission expires <br />4e., jL!t <br />po <br />F <br />N�a,mel of Bingo Hall <br />Illill : I <br />&4 <br />Bingo Hiall License Number <br />
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