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Net lof Pmniiiseis, hi Imo' Will Occur <br />OaWs) all uirityr Oftwing(s) <br />Bil-Miale, Club <br />I <br />remi lAdd nm <br />C4 <br />State <br />zip, <br />Couinity <br />2100 Dade St,r�e�et <br />Roseville <br />M, <br />=14 N ] <br />55,113 <br />Ramsey <br />June 1C, 1989 <br />Expenses <br />. <br />Market Value <br />Game <br />Yes,, <br />No, <br />Gross ReceI P is <br />hest ost of Prizes <br />Profit <br />of Prizes <br />Bingo <br />x <br />RaP 1% <br />x <br />Paddle w�helels <br />Tipboards <br />x <br />P ull-Tabs M <br />U"OUProfit <br />--- To Promoteli amateur police and youth,. athletics <br />'fttributw From 'Whom Ganir EqWpment AGquired <br />I affirm all ir <br />,Oprmation submitted <br />accuratejk(d comploe, 1,,o <br />mt <br />Board is true, I affirm alll financial- information submitted to the Board is true, <br />accurate,, and complete. <br />4 1 - <br />C=� <br />Date Chief Executhw Officw Signature, <br />I� III III IIIIII�� I <br />ra 4,11:11 � (A 11 0 1 FTMe 11 �� I ; 16joyi <br />ire of 'ersoin Wing ication <br />Ij I I iii I A <br />Ani 1z IA <br />Tilde Plate i <br />CG-00020-02 401U) White — Board <br />Pink — Organization <br />Signature of Person Romwing Application <br />Title, <br />'Canary — Board reWrnsi to, Ckganizatim, 10 compk" illhood srn& <br />Gold — City cw County <br />