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Laivvful Gambling <br />f. <br />L 220 Appli , catibn for Exempt Permit <br />1 „1S IL <br />.�71, "YT ")F0an:,za,1U,­;n h a <br />Y .pl <br />ys, <br />--V V 4 <br />, <br />1, .41 <br />C"' <br />• h -d n I. <br />ORGANIZATION INFORMATION <br />Attachment A <br />For B-c4i rd Ui��-e- Cinly <br />Fee "I's $50 for <br />each event <br />.............. <br />L <br />gaMp e , F i nn f , ., <br />Dv k-, <br />r C- <br />c. n e <br />atiom -1 <br />f),o j...p,0fjf <br />o rg a n zX11. <br />. ......... ....... <br />L___j f� �, e I., ( I I "� i, - I - 9: ao­ z <br />t rLa:­1 -E; <br />P r f 7, 0,111 .1 all <br />. . . . . ....... <br />............... . . . ........... . ..... <br />........... <br />n <br />ON <br />J11 Mtte?�zp n: <br />k, y <br />S, <br />t <br />:1 3', <br />....... --- LAIJ,!-... <br />7 <br />L <br />L)aor <br />f <br />A, Sill <br />Al-T A C H A 0: P Y 0 F <br />QNE OF THE FOLLOWING FOR PROOF OF NONPROFIT STATUS <br />CJ I <br />j <br />D nibe.-it's-, as "v.— ey <br />eral f r I C, -4-'. <br />12 reach �- .eeeu <br />v <br />i L n,'-f L y <br />F� <br />t 5 ­­c -­s 4,m J erv—e-c', DS F­­t.,­e olfffce, !3��;!"Jq- <br />i-1, 111Z: <br />-RS <br />r, t .1 Revenue Service - 1 `0 m T1 r <br />n C taX eXer.1 Ption letter in yot�r org-Inizatio.,nCs, nanne,,g� <br />X W, <br />�o v it y C):!" sc <br />L M W -�s. z <br />F <br />inte m of Fie-, �,i f;,;L n u: P, S e, rvi ce. Alff i liate of nacho statevvide,,, w, in. te.rniltional pa rent nompr,oii iE t ,mac a <br />o <br />attae:,,­ c.,. ­)p es, of bl,�th icff 1he fikokc.)�.%rij- <br />: `�' � 'k, 11C.MCIErihzalli, 1. , " .1 � <br />U E_ �Ci. <br />I r �le s �U <br />P F_ <br />J 111 K <br />7H <br />P <br />ll �n <br />P <br />ij d: <br />.,- rvll 'r :� -I : - lr�_ , �, f - . J.za t f <br />1 iD V 0. L 0. ri, <br />r ga, a I✓b <br />,A <br />Rolvan ervice pnooforeviousty sub,rnitted to Gam bfiffig Control Board <br />Jo. <br />IV SU"d'TdUf--d Of ce, 7 0 1 1 s au us rorn i. i r% a e <br />I <br />.............. <br />ZY1. be r-11 �D` IhC-�.- Site-U . . . ... .... .. <br />N <br />;J <br />A. <br />C; 11 <br />""'.4 -IJ y <br />.... .. <br />. . . . ........ . . .......... <br />d <br />C-7-1 <br />--------- . .... <br />T, <br />J :4i C a c-, mill <br />a ;W <br />. . . ... ...... <br />3 ^p B "" `� l 2 '�� ! <br />7­7 -I 4 DS f lle� <br />'S <br />A . . . ... 4- _UL <br />............ <br />f Ir k V re V VT' LA:T 1- <br />k-.):: <br />OV, <br />Ln <br />J. <br />.1-111 1- 3aiddhC,,vvN� <br />N <br />tir <br />b - E-J <br />+7- i P b c; a r r'.`.': <br />P <br />3win,bling. eq, uipment for pulf­tab�,, btrmgc pap,,er, Ltspboz--rj'� <br />D .-tre <br />frc)5r," a 60-biu-tor N �h I Erl �-) � <br />C C e! ..n. se d y iC. i 1-H, c, jl� oia r <br />- T-T <br />sefert-liori o vi <br />aL <br />h rord,,-il b <br />I Q 0, <br />k1 t�` s t - �.��, r <br />r^ E CA�H <br />I c <br />g <br />J V. <br />