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i <br /> HEDULE 2 -SUMMARY OF PRIZES UST-MERCHANDISE DOOR PRIZES/RAFFLE PRDgQ AT THIS FUNCTION <br /> CASH DOOR PRIZES <br /> t v►< AifS 1 S <br /> D <br /> t'r Al s ► S OO Descnpt►on <br /> 9.4 <br /> CASH RAFFLE PRIZES- <br /> RAFFLE `il A <br /> "' pr's "# ► 3_ <br /> DetCription. ue <br /> ATS 1 S — M1 MOTE: INITIAL PURCHASING CRAFFLE <br /> x PRIZES SHOULD SE ENTERED SANDER AR f;. <br /> TOTAL CASH PRIZES,$ (F_XPENDtTURES}ONLY ONCE ' ' <br /> f�' ¢ x i y.+F} mh's£�•=,� 3 -yyr r'y +tgy t +.+t,.-,�tr�w'�•'. 's. <br /> a i "fi •F �,t. �t F <br /> HEDULE 3 DISPOSITION OF AND ACCOUNTING FOR NET PROFITS 3 I <br /> � $ALANCE IN-SPECIAL C/ASMO CHECKING 1GCOUNT(Schedule 3`Llne 6 of Last GFT-1 Report) <br /> 2 ADD NET PROFIT(OR LOSS) (Schedule 1. <br /> Part C Une 1 of this Report) <br /> NET <br /> (NCOEi(Interest etc) s� .y, r. " <br /> ?QTAI.Ef+t �qy� E: { EME �; Items 4 through 3 y <br /> MA <br /> y <br /> � +a �:j 7"�v"''ti`' t^r�.�, i � ms`s r 'ti rv`�+ t. v 3 �' ,'x,p�r.ew�• � i+ .o+, <br /> F �.♦,N� �T `- 'i; -11. S F `Lt-f :} kT �. �Y., �Z.. -N <br /> 4 <br /> Y5wf TOTAL DISBURSEMENTS(from above schedule) <br /> B BALANCE IN SPECIAL CASINO CHECKING ACCOUNT pine 41ess line 5) i <br /> MPORTANTPI — PLEASE READ THE FOLLOWING.PARAGRAcmiaWlPHS <br /> } <br /> +�*-:..� <br /> n, 61.ids'deHved"'isorls a;Casino Furtc#lon are. e recelRts from the sale <br /> dll ce:rgc s saf Ebtsuea ardarpeemtttedg s A <br /> _ <br /> It UAYz*A et ' IQjt19, <br /> , <br /> 05 <br /> One pe oto t"Woue.Tor eaq mo o p <br /> dile the;datesfele U Ta,ac�maxIrrturrr of�59� <br /> ' Pena tl y f r at P yo TaZ One-ttaffcf one percent of"the taird"ue for each onfjh o 'pa It i <br /> the date tax due to, •ct" pall up to a cnaxrmum of 25%of the tax due �- r' :�� „�� �r, j. <br /> Ade nate books and records rrr�st bef;nZalntamed andu�to subs <br /> tarttiate compliance with tie five , ;: <br /> proceeds tax. For taxa Audi , g,-purposes,suctr books and iecords should be preserved and avaliaafe" <br /> bf four years from thef osekof-the calendar.,y r to which the,tkords aPPIY <br /> 'THIS DECLAAA7'iDM MUST BE COMPLETED x " <br /> tom _ <br /> CE CCARE, SUBJECT TOr THE PENALTIES OF PERJURY, THAT 1 WAS TiIEMBER 1N CHANGE OF SHE CABS <br /> /NO <br /> UN�TION CONDUCTED BY THE LICENSEE HEREIN ON THE � DAY OF <br /> 9� <br /> AT I PERSONALLY SUPERVISED SAIDfUNCTION, THAT-1 HAVE READ THE FOREGOING' _ e4ND <br /> AT THIS STATEMENT IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF <br /> ,. AREA r.ittn9E1 ,r>r3e-:` . <br /> SIGNA UR M IN A ION AT „y. <br /> I R, .D <br /> li-l�C-g� .•i- ,,, <br /> FORM PREPARED'BY. �` d. - f <br />