b2 by ashrafp

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									                                                                                                                                                                                                                    G1B2

 Schedule B2 — Lawful Gambling Report of Barcoded Games
 Use this schedule to report pulltab, tipboard and paddleticket games that have been removed from play during the                                           Federal ID number     Minnesota tax ID           License number
 month. If you’re reporting destroyed, fund-loss, defective or missing games, read instructions before completing.
 Name of gambling site                                                                                                                                      Site permit number    Month/year reported        Page
                                                                                                                                                                                                                    of

 Type of operation:                Booth              Bar-op              Machine dispenser                      Game status (check one):

 Type of game (check one):         Pulltabs           Tipboards           Paddletickets                                 Played            Destroyed                 Reported as              Defective          Missing
                                   Progressive tipboards                  Progressive pulltabs                                            with approval             fund losses

     A                   B                      C              D             G              H                I                   J                K                    L             M                   N               O
     Mfg             Part number               Game           Date         Ideal        Ideal prizes     Value of        Gross receipts        Value of           Net receipts      Cash         Cash long /(short) Date game
     ID                                    serial number     in play   gross receipts                  unsold tickets     (G minus I)         prizes paid         (J minus K)      in hand          (M minus L)      removed

                  Totals from previous page, if any

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                                                           16 Total

 If you have one gambling site, enter the totals from Columns J, K, L and N for each type of game on the appropriate lines of Form G1.
 If you have more than one gambling site, enter the totals from Columns J, K, L and N for each type of game on the appropriate lines of Schedule A.
(Rev. 11/08)

								
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