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C,G 202(91/89�) <br />F-lawful: Gambling Lease; Agree ent <br />P' remises Information <br />Name of lo gal promises, owner (lessor) Addlr,ess City/Zip Code Phone <br />6 <br />Name of sublesisor ('if any) Address Qty/Zi.D Cod <br />e Phone <br />The lawful garribling activity which the oirgan�ization will conducitare (check all that apply): <br />blin�g�io raffies paddiewheel�s pulil-ta,bs Upboards <br />Class B and D 11censes, <br />Rent for gambling activities not Inbluding bingo <br />may not exceed $24 per square foot per month, <br />with a maximum of $600. <br />Rent to, be Paid per bingo occasion s, Rent to be paid per month $ <br />Premises, Description A/�xr <br />The areas leased within the prernises is feet by feet,, for a tota,lll of' square feet. <br />Attach a sketch which identifies the llocatioln of the leased Ipremiises when a portion of a building is the leased premises. <br />That.sketch must include the dimensions of the, leased premises. <br />Ueetive Dates'' <br />fl 01 <br />-4 1? 81 11 a. m�, o n <br />'The lease will go into effect at 1 19, 0 , and will end at . on 19 <br />Times and Days of' Bingo, Activity., (if none, indicate N/A) N/A <br />The bingo occasions will be held: <br />from (hours)- f # 0;,<) (a., to 9 Y <br />I-- t farfm./P.M.) on (days of week) %A/E—::! <br />4 <br />irom (hioiurs <br />(a.m./p.m.) on (dayis olf week) <br />from (hours (a,.m.1p.m.) to. (am.1p.m.) oh ('days, of week) <br />from (hours' (a. M. . M.) to <br />(a.m.lp.m.) on (day's elf week) <br />from (hours) m., /p. m.) to (a.m.lp.m.) on (days of week) <br />from (hours' (a., m., /p. m.), to <br />(a,.m.,/p.m�.), on (days of week) <br />