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LICENSED CHARITABLE GAMING FACILITY …

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Reviewed By:CG-FAC11/13Quarter: 1 __ 2 __ 3 __ 4 __ (check one)Calendar Year: ______ FACILITY NAME: ________________________________________ license NO. FAC-___________ LICENSEE NAME: ________________________________________ MAILING ADDRESS (Licensee): ________________________________ LOCATION OF FACILITY : Street Address: __________________ City: ________________________ County.

Organization Name Organization License # Total Rent Owed During Quarter Total Rent Paid During Quarter Rent Due 30 Days Past Due 60 Days Past Due

  Organization, License, Charitable, Organization license

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