Transcription of Application for Gaming Funds - Attorney General
1 Application FOR Gaming FUNDSNORTH DAKOTA OFFICE OF Attorney GENERALGAMING DIVISIONSFN 9801 (11-2017) OrganizationApprovedLegal Name of Organization or Individual Applying For FundsContact Person for ApplicantTelephone Number Mailing AddressCityStateZIP CodeDetailed Description of Intended Use of Gaming Funds :Amount Requested$Request is:Amount Approved$Check NumberCheck DateEligible Use Code Applicant agrees to retain documentation of the use of the Funds for three years from the date Funds are received. Applicant agrees that if the Funds are not used for the above stated purpose, or the Funds are not used within six months, the Funds will be returned to the Gaming of ApplicantDateDeniedApproved ByAPPLICATION FOR Gaming FUNDSNORTH DAKOTA OFFICE OF Attorney GENERALGAMING DIVISIONSFN 9801 (11-2017) OrganizationApprovedLegal Name of Organization or Individual Applying For FundsContact Person for ApplicantTelephone Number Mailing AddressCityStateZIP CodeDetailed Description of Intended Use of Gaming Funds :Amount Requested$Request is:Amount Approved$Check NumberCheck DateEligible Use Code Applicant agrees to retain documentation of the use of the Funds for three years from the date Funds are received.
2 Applicant agrees that if the Funds are not used for the above stated purpose, or the Funds are not used within six months, the Funds will be returned to the Gaming of ApplicantDateDeniedApproved By
