89-320 WHI7E - C�TV CLERK COUIICII
PINK - FINANCE G I TY OF; A I NT PA U L
CANARV - DEPARTMENT
BLUE - MAVOR ���� �
File N 0.
CounciJ� esolution �,,
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Presented By
Referred To Committee: Date
Out of Committee By Date
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RESOLVED: That application (ID #9 993) for renewal of a State Class A
Gambling License by he Shop Pond Gang at 1079 Rice Street,
be and the same is h re y approved.
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COUNCIL MEMBERS Requested by Department of:
Yeas Nays
Dimond '
�� In Fav�or
Goswitz
� B
�h�' � _ Again�t Y
Sonnen
Wilson C
FCB L �i ���� Form Appr ved by City Attorney
Adopted by Council: Date - �f',' �p
Certified Pass by C n il Secre By II� Z'G 'lS'
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gy,
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�E ^ - ''�"' Approved by Mayor for Submission to Council
Approved by � vor te � ' ' � —
�'�" BY
PUB1tSNED i�' " ,
. Cf S9-3a.o
�,►,�, . o��� �,�� ��� -� s���`�°po. 0 0 3 5 2 2 �
1. Garchedi {
� � COK�ACT ` � . � . . . . . DEPARTMENT DNiECTOR . - MNYOR(Oh-11S818TMlT)� . ..
Christine Ro.�ek: � � — ������ ��«�
��*. �•^�, �: �Council Research
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Fi nance &. t. 29�-5 6: a�: � ��„�, `�'
Application far renewal af a St te Class A Gamb1ing License (A11 Forms).
iVotificatfon Date: 2-3-89 Hearing Date: ' 2-23-�9
�,�o�s:c�vv�.w«�r au i �n+� �o�: „ -
WANlNN6 OOMMISSION - � GVIL 9ERVK�COMMMS810l1 DATE IN DATE OUT - � ANALY$I .. � Pf10NE NO. . ... . . ..
�.... -^�ONM�10�MIA�qN . � ... IBD 626 BCIIOOL 8Q4fiD . � - �� � . .. . . . . .
� � � STAFF... � . . CJiIiRIER OOMWS810N � � S IS �� . ADD7.pFO.AOOED�-. . .. .� .AETD TO.COHTA�T . ' ...ODNS7TI11EN1' .
- � � - � _ . � _FOR ADDL UJFO. . _._�E A(i�+
DIS7AICT OOIMC� ; � . .. � � � � �
EXPLANA �. . . . . .
- �- BUPPONiB.YYFMGI-COUNCIL OBJECTtVE4 . . � . . . � � . �� � . . .. . . - � ..��:
.. . . . ... ... � .. . � .. . . . � .. . . � . � : . �. �. . .. . . .. . .. : .. � . � � � . . " . .
YNIIA'1f10 PRO��MlUE,O�Ppli111M1Y(VNw+wh�f.VYfMn,VN�re.WhY):
Philip Kos�olnik, on behalf of �h Shop Pond Gang, at 2079 Rice Street requests
� Council ap�roval of his app1ic ti n for renewa1 of a� Class A Gamb1ir�g License
(�11 forms . Bingo sESSions a e eld Thursdays betWeen the hours �f 8:Ofl PM and
12:04 PM.. Proceeds are used � s onsor and pro�tote�amateur athaet�cs for boys
and girls in the Com� Park are .
�a►,�-i�ei.n�r.w�r.o..,aa�o�r. �
Ai1 fe�s and applications hav b n submitted. A11 10% contributiar�s are current
_ to the :Gity Y�uth Fund. _ . .� _ .
091�EG[I�It�Ei lYlIIMR-MVMn.'�nd Tb:Whom): , ;`'
If Cwncil approval is given, h 'Shap Pond Gang wii1 continue to spo�sor a
binga session at The North En I provement Club. -
K,uru►nvs: coNs
_ . ��u��i Research Center,
EB � ��39
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LEBAt 18SUES:
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�a�uuwc��ertx+�r oF�o�oa�a a��rc�w�►rvn�n,►�s:- -
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sr11KHi0LDERS cusy ro�noN c+:-.o► -�, i-wu ��rnr� wrnowwE f�wn�.n«as)
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FINANCIAL IMPItCT �sr es�,o�� s�coNO,r�a No,ES:
on�a euoGer: .
REYENUES GENERATED :.......;.:. ` ; .
EXPENSES:
Selaries/Pringe Ber�efits : , . ; � . , , : .. .
EQuiP�..................... , I
Siipplies. ......... ......... ....... .... .. ..... ..... :^"�.,—� ,
' CoMracts fw Service
Other
PROFlT(LOSS).......:.............. ..:..........:.... , ,. ,
tNNDMKi�$OURCE:FOR ANY L�S:(N81ne and AfinorAx).
CAPITAL IMPBOVEMENT BUDGET:
�QN COSTS................................................................................ I ?
_ _ .� .. :
IICQW$RiON_GOSTS...:........:.................................................._..,.. . � -_ ,. _ .. °
, . , _.,.
C�ONS7"RUCTION COSTS ..................................................... ....... ,.. ,
TD7'AL ....................... _ � _ ` , :
souAC.E oF wHO�Na�ideme erw anwn,t> . I
pAPACT ON BUD(iET:
` --<.. -. . , ; . .. . ., r.
- AMOUNT CURB2NTLY BUDOE7ED.............................................. .
.. . .
. _ .. , _ .. ;. . .
AMOUNT M EXCE.SS OF CURREdT BUDtiEf „........ ....:.... � �
30URCE OF AMOUPfI'OVER BUDOET ........ ......... ....... <
PROPERTY TAXES GENERATED (LOST):.....:.. _ ,.. . � � - '
�HranoN RESPOr�ewm: �
a�'ioF�ce : ... ._ :. -. rnvtsicmi � : � �n m�:--:�:. , , ;
BUDOET.ACTNRV NUMIBER d TITLE � . _-� .' .. " ' . ..� �{�� . � '_ -�. ACTIVI'fY MANA(iEq �.•�. : ... -. .-...��. . •
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t10YY PEl9FORMANC�E WIL.L BE MEASURED?: , ' ' '
PROtiRAM OBJECTIYES: PROGRAM INDICATO _. ._ 1ST YR. 2ND YR.
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EVALUA710N RESPONSiBILITV: . . . , '
� PERSON; � � . . � . DEPT. . � PHONE NO. � �.. �R�PORT�TO�C.'WAYEIL OF ', DATE .
FlRST QUART£RLY
.�.. . ,., . __ .. .- . ; _ , . . By
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� UiVISION OF LICENSE AND PERMIT ADMINIST T ON DATE � g 1/ ! �� ��
INTF,RDF.PARTI�fF.I�'TAL REVIEW CHECKLIST � A.ppn P oc ssed/Received y
Lic Enf Aud
Applicant �� � Os�l h l�� � Home Address �a�� �• �Q.Y�211�(.�v �'��
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Rusiness Name � h,p� -�pnd ��nC� Home Phone
Business Address l��� ����, �f I Type of License(s) �Q,h�',(,V ��� _
Business Phone � (Zyh IQ�� v�(� L[(�Q�S�
Public Hearing Date °�` � License I.D. 41 � 3 l��
at 9:00 a.m, in the Counci Chau ers,
3rd floor City Hall and Courthouse State Tax I.D. �6 � l�
llate I�'utice Sent; Z��� $� ��q�� Dealer �1 /� ��}
to Applicant
rederal I'i.rearms 46 /�
Public Her.iring
DATE II�SPEC IUN
REVLEW VERFIED (COMP TE ) CUMMENTS
Approved Not oved
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Bldg I & D �
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Health Divn. '
, � Pr !
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Fire Dept. �
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Police Dept. S��� � I '� � �q O
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License Divn. If2��g ' i Q �
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City Attorney �
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Date Received:
Site Plan � I(�' G �(
To Council Research � O v
Lease or Letter Date
from Landlord I
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Ci y of Saint Paul
Department of F1ina ce and Management Services
LiceMse nd Permit Division
' 03 City Hali
St. Pa I, Mi nesota 55102•298•5056
APPLI�A ON FOR LICENSE
CASH CHECK CLASS NO. w Renew
0 0 � � ., � I(� y`
Oate t9
Code No. Title of License From 19�TO �� °?� 19�
�-( �•�v �
���:���� � - � I, n�, � �o'a �o��
�� C����
j ,�, ���- � ,? ApplicanUCompany Name
� �oo �U 7Ci ��.I(1L �'{�{2Q'�'
100 eualness Name
^
100 S` T L!L�..I �'� Y^)
Business Addresa Phon�Na
100
100 Mail to Address Phone No.
r'� + � � �
�oo -�11� i � ��� �_j• 1`� U�-�-J �vT�� �
ManapsNOwner•Name � /�� —�y�
. ,00 ��� U ��. �i ✓ � 1� ��?U
100 AlanayedGwner•Home Addresa Phon�No.
Rece ved the Su1m otlon Fee 2•�� 5� � �� If � �•l ����
('(' • ManapedOwner•City,Stste 3 Zfp Code
100 � Tot I 100
/� �� ��� � �- '' �
` `/ y/��- i-�_� � � ��— .v�
License Ins ector v� J g ; '� c �"`� `� / , �� r r�'.,_�
P Y ` ' " I ' / � iSignature of Applieant
i G� �
Bond:
Company Name Policy No. Expiratlon Oate
Insurance:
Company Name Policy No. Expiradon.Date
Minnesota State Identification No. Social Security No.
Vehicle Information:
Serial Number Plab Number
�tft@f'
THIS IS A E EIPT FOR APPLICATION
. THIS iS NOT A LICENSE TO OPERATE.Your application f r li � nse will either be granted o�rejected subject to the provisions of the zoning
ordinanCe and completion ot the inspections by the Heat h, F re,Zoning and/or License Inspectors.
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$15.00 CHARGE FO ALL RETURNED CHECKS
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_2 ���° � '�
. . • • j Cic;� bf ainc Paui C� 89'' 2Q,V
. Decar:�enc oi rina�ice and �Sanagement Ser�ices �'�
. Otv±sion oi Licen�se nd Pe:aic �egist:ation
I�IFORI�ATION REOUI4� �«I'*?i :�P°LiCaTION ?OR' ?_.'iI? TO CONDUCi C3A.RI?'.�3L.'. CA.'�3L�VG G�1I�!E' :V
� SaIN? ?:�UL
1. Ful and compl n aame o" arganizaci.�n • hich is applying for license
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2. Addres vhere games vill be he d / C T �. 7
�- ;lu ' er S tree t Cicy Zip '
3. Name o� maaager sigaiag this applicaq:on vho �ri� conducc, aperace and aanage
Gambliag Games O��iQ� (JS �� /1�f} Dace af 3irca /aZ �
(a) Length of c:me manager has bean �e�b r o= appljcaac organizac.on ,3 7 �GT �4�P5
4. Address of :tanager �p C� �fl�� /1�� .��0
Yumcer c:eec C:t;r Zip
5. Day, dates, and 'nours chis aoplicac�cl i =or��,(��$�8%�PNJ•��i2:n0/�+9/A/�r�
6. Is che appl.+cant or organizacion orga iz d under the laws o? che �tace ei w?d? _/���5
"7. Date of iacorporacion U/YE �
8. Dace whea registzred vich the Stacz o w esoca V�F O � �
9. How long has organization beea ia exi�ca ca? �f� 5
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10. �ow Iang has organizacion bee� ia �Y+ ce c� ia �t. �aui". .� EA S
I1. Whac is the purpose of the organ;zati n? olf.s0 I�D/l�o1'� � JQ
LE7��5 D O S N C�lR S /�! E C�OMo �/Q E!�
I2. Officers af appiicanc or3an�zat{orc
Nante � � Ya�e /�/�� v 5TvG��f�
/ +� � R��
Address�3 . $ LYA. .�S� • q.te� �ddrzss ro{�o 1/Y� G.R�Pf�/S�7'-EUf�' aj°7 M�/..R'/(.3
{�i���,���u-rAy
TitI.e�E,s'/f��/�('� DOB 3 � "s"�° TI�EASu� 709 �G /O
L----
Yame � C�{R/Q� /�;/YvE�✓�'o/t�' � Vame �Y/ /L/P C'f)SSEI L/�/.�"
address ,��/�f�lQl�y(��+ 5`I��ff�L,/t�IK�i ? ?�dd_ass /�dtQ�ESS, ST/,qvL M�V.,r�43
G BRA R�cv�
Ticle �EGtPEY�R/e� DOB D / � :'_c_a ��ASri�6,e __ ]03 / d .3�
T—' f
13. Give names oi oc:icers, o: any oc;e� ��rs r,s �no :a:_ cor sar:'_css _:. _:e �r3a^.:_ac:�rc.
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Vame �_ Yame
Address add:_ss
Tic1a --=-=
(,::tac^ se�a:a�e ;.e� . - :::�-=--••-- "=_=-•
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. � Cj �9- 3a �
I4, actac:�ed he:eco is a lisc of naaies a�d aa:esses ot alI aembers oP che or3anizac:on.
15. In wnose csstody vill orgaaizat2on's ;re ords be kepc?
" x�� rL� - , Sr r'�,
. � D 57oLN/� address /d�v VY.�A�P�VT�"v�Q�`do�, �`��-'��,�
� I6. •Persons who vill be conductiag, assi�ti g in conduccing, or operac=ng che games:
v�e p �� V✓�� hlf�� Date oi Birt:� oZ
address � MO �j�CE $'Jt' dL• , �.T O.�
Name oi Spousa � �$ �157`E A Dace of 3irth �� �.
Daces vhen suc^ oersan ui� conducc, �tss sc, or operace �rJ�,$��f�y,S
Name Dl`�/1/ C(> �/5 Da:e of Birth /�
aaaz�ss �O �d O VC. ' T"�i��G tiIK'- .fr,(-o3
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Nane o* Spouse r�GLt� � Dace of Birth
Dates :aen suca oersoa •.riLZ conctct, �ss's�, or ope:ata '��{v/P,s1'j{��lS
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I7. Have nou T T � �
, .aac a_c �o �au c�orougal� ux�ce_ zand che orovfsiacs oE a�l Iavs, ordinances,
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and regulacjo�s _cver.t_^.g_ ;�e ope=ac=ajn c" C�ar_tab_e Gaab�izg g�szs.'
18. Attac::ed here_� oa. c�e :a:= �uris:sed �� �.e Ci�7 0� St. ?aLl is a rinaacial Repor:
vhica _.e�:�es a?_ ;ecei=cs, e.�eases,�lan ' "
' d_s�urse�encs o= c^a aool:canc organizac:an
' as aa?_ as a:. o:�ar.::.a::oas :-'r.o aahe �ec _rea :sads �or cie pre a '.�g caleadar �ear
�, • �
:rhic:^. .�id5 JB�:: 5�3_^.e�� C:�73r�d� 3IIQ V�:� �t.'C �Y� i
. ' tiame
� O YY � L-/� U J�7' /�dG /vl�✓, .1~J���,�
:� �5; • .
crho is cE:e !/11G0 R/)'D - � .Sd E o: �4e applicaac Orgaaizat=on.
' Ya3e J� Oi� �s '
19. Operaco: a: pra�:;es �ae-_ ;=ames ::Z: ae Ls:
rr�e o n� /n�P o E . CL vB
B�siness tidd_ess O C'�' . ST/��vG /yj/�. f�
,
Home address
20. amounc o� -er.c �aie �y a�oL_._ac J:��.: ac �n =ar _e�c o: c�e �za??; spec::;T aaounc
�. � 5'. Q C/4-f� _..��a
paid ?er j-hou: se==:oa �'
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ZI. ihe proceeds o: tae 3arses vill be �dis ursad aiter deduc::ag prize ?avouc coscs and
, ope:acing ax�enses tor �he Lollovf�ng urposes and uses:
O S v�Sole N'� RoMVT�`' S ,y� G � o u T1`f f�SEQ,�G Sofr,df��
007' GL $o«E o c � /�ALG �l�rS�Sr°EED S�'A?'�i✓G /�Y T�E
� �`O Mo �4R R ER• I1liF ,E AR�ouS A� ETrc oc� cT�vrri �
v c R GA G' ov CE T�' •
�2. Has the premises vhere che games �re co Se held been certified for occupanc; by che
Cicy oc Saizc °auL?
23. Eias �our or3ar.izac=on �+_Lad : der�. on 9°0—i'' _�� L� ansver is yes, please accach
a cooy vic� �=:s apol°cat:on. t: an •a: is no, e alain vhy:
Any changes desi:ec b7 c;e app??ca::c z�sa iac_on a�a� be aade on1;� vic� c:;e cans2r.� o� c;�e
Cicy CounciL.
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, Orgaa:za on
�
Date ' f � Bv: ��L� � ► `.� i�.Q�s?��.�Y�.�,�t
� �aaagzr _n charge aL gaQe
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�ity of Saint Paul Pas• 1
� Departa�at of� �i nc• and Managesene Ssrvic�s
Di�ision of L�Lcea a and P�rsit Adsinistratioa
. UNI�OBlt CNARI�AE GAMELING 1►INANCIAL REpORT '
� n Dat� 9
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1. pa� of Organization /���
• 2. Addre�s nhera Cluritabl� Gub i conduct�d O �� T Iqv .�f��7
3. Aaport for period covaring K AR 19,� ehrou6h DECBMBER a�9_ 19,�
4. Total nwbar of days pLyed
S. Gsos� r�eeipts fo� abova p�rio� ; �`.7���0�9'7
6. Gross prisa payout� for abwa plsri (includa cash shozt) : �y"a 7.77
7. N�t s�caipts - lin� 5 dau� liqe 6 ; ��{�3�+ /�
,
8. Expenses incurred in conducti I operating 6asa:
A. Grosa vsges paid. Attae6 r list rith �/
names� addreases� aro�s •. u�bar of hours ; ! ��d���
workad. and amount paid pe 6 .
. 8. R�nt fos �U veeka � ������
C. Licen�a fea ;
D. In�uranc� 'i ;
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6. Bond =
!. Dishonored ch�cks not reeo�ere � `Tb0,00
G. Accountiag Expense ;
H. Esplo�ars F.I.C.A. _
. I. Pulltab Tax Paid to Depard�at of Ravemi� � ��•oab
J. l�tinn. U.C. Ta�c =
1C. Tederal Exeiee Tax 6 Stup i � l��S•O t�
. L. Stata Gubling Tax � ����.(D�
!1. Miseellaneous Expawes. I ent fy tha asount
• and to who� paid. I
�'������+�r�„c'�. s v�O �v��
. 2•o-�'�-.,�-��'�M�s� : ,af�
3. /I i
4. f
9. Total Expaaees. TOTAL � �� � � �'✓/
10. N�t Incoa� - lina 7 siaus liaal 9 3 JOZ-��`• ��
11. Checkbook balanca begitming ofI per od ; 74"�'1'i/ 3
12. Total of line 10 aad 11 � ; �9T��?9
:'`Y°;". 13. Total coneributione (froa atta{�hed vorkshaet) _ ��� ��
14. Checkbook balanc• end of repot�tin6 p�riod - � / 3� ��
' lina 12 less line 13 ! ; �- �� •
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. ' CI?Y F ST. PAUL �-�l ��� PAGE 2
UNIFORM CNARITA64E BLING FINANCIAL REPORT �i���,�- / ���'
LAWFUL PURPOSE CqNT IBUTIONS - WORKSHEET
Line #13 - Total Lawful Purpose Cdnt 'butions. $ �:, � �� G�
List below all checks writtern fr m gambling funds Nhich are
charitable lawful purpose con�ri utions. The total dollar
amounts of these checks must �nat h the amount claimed in
line #13. Use additional she�ts as necessary.
CHECK # DATE � PAYEE ,�, C�iECK AMOUN PURPOSE
i...�3� � ..�' ;'�,����� �y�Ua , n �,,d, � �.�::�
__._- .�- -_-------------. ___.______._______
2 �� �� � r� ��.-� � -- � - _L, �.GV � 1 ^ _.�_��� __.-����_
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CI'�lf ST. PAUL �PAGE 2
UNIFORM CNARITABI�E BLIN6 FINANCIAL REPORT �,�,.� ��e.�-�
' LAWFUL PURPOSE CQN IBUTIONS - WORKSHEET
Line �13 - Total Lawful Purpose Co�ntr butions. a �
List below all checks writtenlf gambling funds which are
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amounts of these checks must �at h the amount claimed in
line #13. Use additional shetts as necessary.
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CI F ST. PAUL PAGE 2
UNIFORM CHARITAB E AMBLING FINANCIAL REPORT �
' LAWFUL PURPOSE C T IBUTIONS - WORKSHEET �"`�� `! �
Line #13 - Total Lawful Purpose C�nt ibutions. E �
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List below all checks writteh f qambling funds which are
charitable lawful purpose co tr butions. The total dollar
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CHECK � DATE � PAYEE CHECK AMOU PURPOSE
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CI�1f F ST. PAUL ,
UNIFORM CHARITAB E LING FINANCIAL REPORT �,��� °��{"
' LAWFUL PURPOSE C�NT IBUTIONS - WORKSHEET
Line #13 - Total Lawful Purpose C�nt ibutions. E �
List below all checks writte f gambling funds which are
charitable lawful purpose co tr butions. The total dollar
amounts of these checks must ma ch the amount claimed in
line #13. Use additional sh�et as necessary.
CHECK � DATE ' PAYEE ; CHECK AMOUN PURPOSE
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