RAFFLE TICKET DISTRIBUTION LOG SINGLE TICKETS OFFICE OF ATTORNEY GENERAL

							                                                                                 Organization                                                      Date of Drawing
        RAFFLE TICKET DISTRIBUTION LOG - SINGLE TICKETS
        OFFICE OF ATTORNEY GENERAL
        SFN 9873 (1-07)                                                          Range of Ticket Nos. A. Price Per Ticket   Date Received           Received By
                                             Attach copy of raffle ticket                —

                                                                       C. Quantity                   E. Gross
                                      Range of Ticket    B. Quantity                 D. Quantity                    F. Cash     G. Cash Long         Date     Received
Date   Issued By          Issued To                                      Unsold                      Proceeds
                                        Numbers            Issued                    Sold (B - C)                  Turned In    (Short) (F - E)    Received     By
                                                                       (Returned)                     (A X D)

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                                                                                                                                                  Completed By
                                       TOTALS
SFN 9873 (1-07) Page 2


                                                                     C. Quantity                  E. Gross
                                     Range of Ticket   B. Quantity                 D. Quantity                F. Cash    G. Cash Long         Date     Received
   Date    Issued By     Issued To                                     Unsold                     Proceeds
                                       Numbers           Issued                    Sold (B - C)              Turned In   (Short) (F - E)    Received     By
                                                                     (Returned)                    (A X D)

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                                                                                                                                           Completed By
                                      TOTALS