89-824 WMITE - C�TV CIERK
PINK - FINANCE GITY O� SAINT PAUL Council _���/�
CANARV - DEPARTMENT {'lIe NO• r
BLUE - MAVOR
E u c 'l Resolution ����
Presented By �'�'u` ---
Referred To Committee: Date
Out of Committee By Date
RESOLVED: That application (T #76628) for renewal of a Class C
Gambling License by American Legion Post #449 DBA Star
and Shield Inc. t 08 Main Street, be and the same is
hereby approved/
COUNCIL MEMBERS
Yeas Nays Requested by Department of:
Dimond
�ng [n Fa or
coswitz
Rettman B
�he1�� � Again t Y
Sonnen
----�ilseo-
�Y ' � Form Appro ed by City A orney
Adopted by Council: Date - � �
Certified Yass d� y o cil Sec �}r BY
gy, t��*��` ,�
A►pprov by Mavor: Date �
� ^ Approved by Mayor for Submission to Council
By
PU81l3�ED M AY 2 19 9
' �• ... � DATE MTN �., M7E�.Ol�tl.lm �. -' " . �. �i ���/��� .
... :. .� . . �� � - . . . � _ � � . �-�� �� �i":s'Y�� i��ii1► ■ ��.0����W��.
J. Carchedi
coKr,►cr o��rr o�eera� �uur�(w+�rMrn
Christine Rozek : �+ - — �.��� �«rv«�
� �. _ . — �� �C4u�c11 Research
_1 _ . —. -
F`nan & . , ,_ � � . «r�� _
Approval of the renewal of �► C1ass C .�afibling License.
Notification Da�e: 4-19-89 Hearing Da�e: 5-1'i-89
�cbw�ensa►+6:(�vDrow(�>«�.�x!nl) � AEPOnt:
wx�+wwci c�r�eioa cnm a�nv�oo�rsaa+ o��� �n�arr �►w.rsr war��o.
_ ao��o oo�oN reu eza ecyoo�.en�wo '
�sr,� c►+�n ca�or► �s�s �oo�.�n:�ooEO* Arrv ro oa�+�T oo�srrn�r -
_Fan�om.r�o. �.�ac�oom*
o�rr+�oouicw * _ .
aurooR►s wwcr+oouhc�oe�cnvE� '
1111►MtMO PNONitl,�E,t�IiPORi11NfTY M�w.what.wt�m.�Mwro,why)c . .
Don Shaefer, on behalf of Ame ic n Legion Post �449 DBA Sta�^ & St�ield It�. ,
requests City Co.uncil approva o his application fo.r�renewal �f a State :
Class. C Gambl.ing License at 4 8 in Stre�t� 8ingo.sessions.are heid`
� , . Wednes�ays between the :hours f : �:30 PM and 5:30.Pt�, Pro.ceeds are dopa�ed .
fo.r. various fraternal , charit bl and patriotic ases. ` �
.�uss.,o,►,�oN cca.yeM.�m,�e,w,ro+s.�): -
All fees and applications hav en' submitted.
-�Mlh�f.wlw�.a�t►to whom): ,. ... ,.. , ,, . . . .
If Council approva1 is given t Ap�erican Legian Post #449 wi11 conti�ue _ _
to operate a bingb game at 4 in'Street. � � _ _
��air+►�s: _ coNS . _.
�rro�r�o�rs:
��° � Cvuncii Research Cen#er �
; . �,.
: APR 2 71989
�.
. . ���a�
UIVISION OF LICENSE ANI) P�RMIT ADMI IS TION llATE � � u �/ J o�O ��
INTERDF.PARTMENTAL KEVIEW CHECKLIST Appn ocessed/Rece ved y
Lic Enf Aud
Applicant S .,Q _ Home Address �� '7 �J/�7S�Q�
Rusiness Name l�rr� L� aS �y�'j Home Phone `J����
Business Address �(�� a,(PI � Type of License(s) �� y�,�.� U-��
Business Phone S.S � �C(,yy� b��y� �-i �-Qi►1,S-e�
Public Hearing Date � � � License I.D. 46
at 9:00 a.m. in the Council Chamber ,
3rd floor City Ha11 and Courthouse State Tax I.D. �t ���-
_�—,
llate Notice Sent; ,1 �`� Dealer �f N I r-T
to Applicant ��{' I � � /�_
rederal I'irearms �� � �'
Pub.lic He�aring
DATE II� PE "TIUN
REVZ�.W VERFIED GO UTER) COMMENTS
A proved No A roved
�
Bldg I & D +
���'
Health Divn. , )`� '
���� �
i
Fire Dept. i �
i
i � � �
Yolice Dept.
': 5.e,,,� `( I
`}���g� � o �
�
License Divn. ,i,J, tS'� �
! Q ��
City Attorney
y��� o �
Date Received•
Site Plan � a-v � /
To Council P.esearch � � �
Lease or Letter � Z� � Date
from Landlord
. .;_ ���
. . � . ! ��.
Charitable Gambling Control Board - � . For Board Use Ony �
Rm N-475 Gcigg Midway Bldg.
1821 University�ve. P��
.
-' St. Paul, MN 55104-3383 Check No.
� •• (612)642-0555 Date: � ���.
��..
, �� :GAMBLING UC SE ENEWAL APPLICATION ''~ , ,
LICENSE NUMBER: C-/1981-113 /EFF.DAT : _ /AMOUNT OF FEE: • '��
, _, ,;
., 1.:Applicant-Legal Name of Organization , .>; 2.SVeet Address . . �. . • ; ��
�' '�TAR ANO SNIELO IMt ST ►Atll ' /l! YUs2�� Avt ,�"'� �����`a ,
• 3.City,State,Zip 4.County 5.Buainess Phone .
St Pael, NN 55119 • 1��s�y , 612 211-12J1
6. Name of Chief Executive Officer 7. Business Phone
Naurice 6up�an -
8. Name of Treasurer or Person Who Acxounts for Revenues 9. Business Phone �-
r.
Oonald Scha�fer ' - �
10. Name of Gambling Manager 11. Bond Number 12. Business Phone �
Kathr Snyder � 85111618611552 - 4
13. Name of Establishment Where Gambling�II Take Place 14.County 15.No.of Active Members
' North Star 61dq Assn St Paul ta�sey 15� F'
A „
16. Lessor Name 17.MoMhly Rent: '
frank Stotiones � Z'121
18. If Bingo will be conducted with this license,please specify days nd imes of Bingo. f
,! Days Times Da Times Days Times
V�/t'Q �.��� 'ri u Q KS
� �3 0 ; b H� '� -
19. Has license ever been: ❑ Revoked Date: + ❑, uspended Date: � ❑ Denied Date: ' a J �
� ��:
20. Have internal controls been submitted previously7� r �l"��s,j �7 No' �rrNoh attach copy) - `
� � �
21. Has current lease been filed with the board? ❑ Yes '���N No,"attach copy)
22. Has current sketch been filed with the boardl . _ ❑ Yes .+�IVo(If•"No;-"attach copy�,_ : . _,,,.�.. ._.�.. ._ , ``
:.k:.+.�
GAMBLIN SI AUTHO ION t,�
By my signaWre below,Ixal Iaw enforcement officers or agents of e are t���auUwrSiea t�nter upon the site,at eny time�g�ng�s � . ;.
being conducted,to observe the gambling and to enforce the Iaw f an unauthoriz game orpractice J / .r , �
BANK RE R AUTHORIIATION �� / ��`� � < : - ' � �'fi��"�_.
By my signature below,the Board is hereby suthorized to inspect t ba k records of the General Gam idg Bar�k Account whenerr�t'necessery to �.
fulHll requirements of current gambling rules and law 1 ` �x " ` R��{s '•,. '�
' ' ATH f �Tr���,�` v''"�'r�.' �.., ,t�w'/'I.�..-
I hereby declare that: � �°._ : • '.��'"'- • f;.�
1. I have read this application and all information submitted to the ; `
2. All information submitted is true,accurate aod complete; �.,, ,.,,,' �'�_;� .
3. All other required information has been fulty disclosed; :. . -:.. . , ;, �:
4. I am the chief executive officer of the organization;
° . ,.: ,
5. I assume full responsibiliry for the faic and lawful operation of alt ctiv ies to be conducted;
6. 1 will familiarize myself with the laws of the State of Minnesota r ing gambling and niles of the board and agree,if licensed,to abide by thos���3 �
Iaws and rules,including amendments thereto.
. '�<'�
23.Official legal Name of Organizations fa r Sig�ature(Chi Ex utive Officer) Date TiUe '���•;;
ubli�'S�;�et -yy9'��/f Sf<<� �i . � s c'�,k,.� �.�.v � ;,�;
_�.. � 44
��� � % ACKIVOWLEDGEMENT O NO CE BY LOCAL GOYERNING BODY �<`i
1 hereby acknowledge receipt of a copy of this application.By ac ing receipt,I admR havin�been serv�d h notice that this applic�bn wi��..`;
be reviewed by the Charitable(3amhUng CoM[ol Board and if appr the Board,will become effectfv�,/�id'�is tirom the date of receipt(noted �r' �
below),unless a resolution of the local govemin body is pasaed ich iflcally disalbv�s such activfty and a copy of that resolution is received bq�•"�:', `
the Cha�itable Gambling CoMrol Board within aya of the below date.. ... . s=r
24.'�ity Coun Na��L��l(3oypming Body) �F Township:If site is bcated within a township,please complete,�24 ` �
� �-.� �' and 25: , ;+ < •�:
Signature o rson Receiving Application: � . 25.Signature of Person Receiving Applicat :. ~ �
;
�: � . � < ,
.V � ,, � : ;'�'
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4
1.Q� � � , � �4;
Title'JA,1� ' ' / ' Date Received(thi8 date s pdayy x` Title: ` � �
� �,.�,�s"r�;:V1t,�� Gl.�� �(��.,�..�rY�..� .�f �(f. V Y � . ' y .. . J �1
R
Na e�eiiv icaY to Locel Goveming Body: Township Name ,�' =� _. �
�.� '',
.;.
CG-00022-01 (5/8� ite`�opy-Board Canary-ApPlicant`' PTnk-Local Governing Body •�'
, ���
, . .. .. , „ .. . . � .. _ �.. . .. _ -- - . . . . ._ , . ��7�:_
._ . �i!/�"�"�
� ty o Saint Paul
� Departme�t of Fin nc and Mansgement Services /����a�
Licensa an Pennit Division �-
City Hall
St. Paul. inn ta 55/02-298-5056
APPUCA I FOR LICENSE
CASH CHECK CLASS NO. ew Renew
a � —! � Dats 3 �� t9_1_
Code No. Tltle of Licenae F� 3 � 1�To 19�(,�.�
..--
� 5 C- c, � � � �3 , � "�
�oo VnP✓�Cun �-�%,l�n t��S`E. �fy�l
n P O Q ADplleantlCompany Na�
100 � ' `
�1�i,. -�+ f ' ,C._j �i ° (� � +'�C.�
' 100 euslntss Name
� t
�� � i� ��} • '" •
�-IC� t�"• d�
BusiMSS Address Phon�No.
100 , � � � )
�( , �� �_-t � {���' IV
100 Mail to AdOress Phone No.
,00 �jc;t�, j�- �, �at�-�?
ManspAdOvrner•Nams
, �� � ,.� � ) ��� ' , �
) l �i �.�. �l:t�iJ
100 AlanayenGwner•Nom�Addreas PhoM MIO.
-�
4098 AppliCatlon Fee 2. gp ( / _.
fiecelved the Sum of 1� � i ' 1 G �L � �� l} J � r��
. � �5 Ma�sqenow�er-cuy.Stst�3 ZiP Cod�^
�oo tai too
License Inspector J � By: �� ' L Sipnature of Applieant
Bond•
Comp��r Name Poliey No. Expiation O�b
Insurance•
Compsny Nsme Poliey Na Expiralfon Gat�
Minnesota State Identification No Soclal Security No
Vehicle Information•
SNfal NumbN at� um �
Other.
THIS IS A EC IPT FOR APPLICATION
THIS IS NOT A LICENSE TO OPERATE.Your application fo Iice ae will either be flranted or re�ected subject to the provfsions of the zonin�
ordinanee and completton of the inspectfons by th�Healt , Fir ,Zoninq andlor Licens�Inspectors. '
$15.00 CHARGE OR ALL RETURNED CHECKS
4 : '., . , .�
, �' .
i
.� , ���� �� � � ,�"� �--
. � � � Cit o Saint Paul �4 ZJO°��
Finance and Management Se vices%License � Permit Division
.
INFORMATION REQUIRED WITH APPLICATION F R ERMIT TO CONDUCT CHARITABLE GAMBLIVG GAME I�1
SAINT PAUL (To be used with the follow ng: New A & C application, renew A & C
Licenses, and new and renew B in Privat C bs.)
1. Full and complete name of organiza io which is applying for license
American Le ion Post 449 dba Star S ield
2. Address where games will be held 08 Main St. Paul NIl�i 55102
N mber Street City Zip
3. Name of manager signing this applic ti n who will conduct, operate and manage
Gambling Games Kath Sn der Date of Birth 4-8-41
(a) Length of time manager has been me ber of applicant organization 5 years
4. Address of Manager 1281 Pine o Dr. Woodbury NllV 55125
Number Street City Zip
5. Day, dates, and hours this applicat on is for Every Wednesday, 1:30 - 5:30 P.M.
6. Is the applicant or organization or an zed under the laws of the State of MN? yes
7. Date of incorporation \
8. Date when registered with the State of innesota _j �a:.. �r,/ �j �Cj',� .� �}'�j�f
T�,�7�� • T�
9. How long has organization been in e is ence? �,�., ��5c �
10. How long has organization been in e is nce in St. Paul? ?� �;} �� 3
� � �
11. What is the purpose of the organiza io ? f: �n i , ;�. �.0 ,���,L'..�Z. `N ;:%��'���
12. Officers of applicant organization:
Name ( Name ��✓`�XJ. '
Address / . > � S , ,� Address ��f_S ��y.a-��LG�
Title Cr���,��,/,c�,{ DOB / r- :��-/ Title �` Uti¢-�� DOB ��jr'3C1
Name Name 1� /�
h f Cy�Vl.�.t�LZ� 1/
, �� � � i'3'L.O�t.C14�1J
Address Address �� �/� ,�
�,.
Title �' OB � � � Title �i��,,�, DOB ( �/ /`'
13. Give names of of cers, or any other pe sons who paid for services to the
organization.
Name Name
Address Address
Title Title
(Attach separat s et for additional names.)
� . . � . � ���-���
14. Attached hereto is a Iist of names and dd esses of all members of the organization.
15. In whose custody will organization's r or s be kept?
,-
� *
Name ,^ Address ��� ���,���,�
16. List all persons with the authority to si n checks for dispersal of gambling proceeds:
, n �
Name ' 7� � / Name � /I
- � ,
Address (,' � Address I.�.� - ��� �
7Member of Member of �� ��1� �
DOB � ' � �/y "/ ,�Organization? " DOB Organization? �:� r.rldX
,� "•. � vt Yl� �
Name � •� � Name
Address � � � � Address
� ��7/� , � Member of Member of
DOB� � � .�rganization? \ DOB Organization?
17. a) Does your �organization pay or int nd to pay accounting fees out of gambling funds?
yes no
b) If you do pay accounting fees, to wh m wi11 such fees be paid?
Name Address
DOB Member of rg ization?
c) How are the accounting fees cha ge out? (flat fee, hourly, etc.)
18. Have you read and do you thoroughl u erstand the provisions of all laws, ordinances,
and regulations governing the oper ti of Charitable Gambling games? �/�S _
T-
19. Attached hereto on the form furnis ed by the city of Saint Paul is a Financial Report
which it .emizes all receipts, expe se , and disbursements of the applicant organiza-
tion, as well as all organizations wh have received funds for the preceding calendar
�� �
year which has been signed, prepa d, and verified by ��,n�-U-�,� � ����.��
� � /
Address
� . r
who is the v � of the applicant organization.
" N me
20. Operator of premises where games il be held:
�, . ., . ✓
Name
,
: +
Business Address
Home Address '� � �U �'�
. ���E����
21. Amount of rent paid by applicant o ga ization for rent of the hall:
� ��� � .
` .�LF/ -L;
22. The proceeds of the games will be is ursed after deducting prize layout costs and
operating expenses for the followi g urposes and uses:
� ,�. ` �.�� �
23. Has the premises where the games a e o be held been certified for occupancy by the
City of Saint Paul?
24. Has your organization filed federa f rm 990-T? L' If answer is yes, please attach
a copy with this application. If ns er is no, explain why:
) �'�-L�. �
Any changes desired by the applicant as oc ation may be made only with the consent of the
City Council.
��L�'j I C � �. � � w c�r . ' e' � �'1 C�
ganization Name
, �.
Date 'S - " ��� gy; �,
Ma ger in rge of game
Organization President or CEO
7 7 � _ = z I �7 = = n .. — ,.,
� ti 9 �C � � � � q � �
R ,•q �0 t ��'i S 9 .a r► 't :
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rf 1 d � 1 � � 7 7 � �
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� � � 3 3 r+ .i'9+ = 3 �
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.7 '0 � ic�:'. t s I� ' ,9 = I � `6
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, • ' C ty f Saint Paul Page 1
Department of ina e and Manageseat Servicea �/} _ ,r,�;�al�
Division of Li ena and Permit Adainiatration �d`1
tTNIFORM CHARIT LE AlIBLING FINANCIAL REPORT
DBe. 2/27/89
1. Name of Organization
2. Address vh�re Charitabl� Caeblin ia onductad KC Hal l L�R Main St_ �t_ Paiil _
3. Repost for period eovering F 19 $$ throug6 Feb. 19�
4. ?otal number of daqs played
5. Cross receipta for above period � 77,,546
6. Groaa priza payouta for above Qe od (iacluda cash ahort) t 59,386
7. Net raeeipts - line S minus line f 1 8,1 6�
8. Expanses incurred ia conductiag erating gaae:
A. Gross wages paid. Attach vo et liat with
namea. addreases. grosa wage . n ber of hwrs ; � ,- 2,�9�
worked, and amount paid psr ur
B. Rent for 52 veeks ; �,jL►hn
C. License fee ; z79
D. Insurance :
E. Bond - ;
P. Diahonored checka not recova d ; 195
G. Acconntiag Expense ;
H. Employers F.I.C.A. ; 2�8.29
I. Pulltab Tax Paid to Departme o Revenue 3
J. Minn. U.C. Tax s
R. Pederal Exciae Ta�c 6 Stasp ;
L. State Gaabling Tax ; 9 Q�ti
M. ![iscellaaaoua Facpensas. Ide tif the amount
and to vhoa paid.
1• Minn. Tipboard ; 131.00
2, Stamps ; 26.50
3. �
4. i
9. total F.�cpan�es mreL ; 10�905.79
10. N�t Incos� - lina 7 sinu• lins 9 = 7}�54.�1
11. Checkbook balance begimiing of p io ; 4��84.17
12. Total of line 10 and 11 ; 12.�38.38
13. Total contributions (fros attach w ksheet) ; 7 yn�6_�
14. Checkbook balance end of rsport p iod - � 5���2�3g
' lina 12 less lina 13
+ � UNIFORM CNARITAB E BIING FINANCIAI REPORT /��,.;����
e . " . � LAWFUL PURPOSE C N IBUTIONS - WORKSHEET C�"
Line �13 - Total Lawful Purpose C nt ibutions. S 7036.00
List beiow all checfcs writte f qambling funds which are
charitable lawful purpose co tr�butions. The total dollar
amounts of these checks must ma ch the amount claimed in
line �I3. Use additional sh as netessary.
CNECK # DATE ' PAYEf CHECK AMOUN PURPOSE
r
I. 2328 3-16-88 American Legion Pos 4 9 $1279.00 Boy Scout Troop 78 (50.00)
National CoRmander (9.00)
Z, Vets Hosp. Bingo (50.00)
A.L. Childrens Ice Fishing (80.00)
3. United Vets Council (67.50)
' Special Olympics Bowling (50.00)
4. Dorothy Day Center (50.00)
KTCA Public TV (120.00)
5. American Red Cross (100.00)
� Poppy Cards (37.50)
6. Legion Boys State (390.00)
Legionville School Police (275.00)
1.
8.
9. . .
10.
I1.
12. .
13. �
TOTAL CHECK NT S 1279.00
NOTE: These expenditures wi11 be provi ed to Council Members at your Council hearing.
� Be sure that your financial repo s complete and accurate.
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► � UNIFORM CHARI7A E BIING FINANCIAL REPORT
. � . � LAWFUL PURPOSE N IBUTIONS - wORKSHEET ,�/���°?�
Line �13 - Total Lawfui Purpose n ibutions. g 7036.00
List below all checks writt n m gambling funds which are
charitabie lawful purpose c nt 'butions. The total dollar
amounts of these checks aws ch the aRrount claia�d in
line �I3. Use additional s e as necessary.
CHECK # DATE ' PAYEf CNECK AMOU PURPOSE
1.
2• 2368 6-22-88 American Legion Po t 49 $1325:63 Girls State (172.50)
'Itai.n Ci ty Lawmen (100.00)
3, R.O.T.C. (50.00)
� Boys Country (70.00)
4, Brain Science Chair (200.00)
Legionville Trans. (35.00)
5, Minn. Youth Safety Conf. (100.00)
Brain Science (100.00)
6. National Fmblem (Scouts) (32.33)
Boys State (60.00)
�. 4th Dist. Boys State Trans.(45.00)
4th Dist. Co�n. Project (91.00)
8. Police Memorial Flowers (85.00)
Memorial Day Flowers (84.80)
9. Bingo at Vets Hosp. (50.00)
Eagle Scout Kits (50.00)
10. �
11.
12. . �
13.
TOTAL CHEC UNT �325.63
NOTE: These expenditures wi11 be p + id to Council Members at your Council hearing.
� Be sure that your financial o is complete and accurate.
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� � UNIFORM CNARITA E 6LING FINANCIAL REPORT ���;q
, " � " LA�IFUL PURPOSE N IBUTIONS - WORKSHEET C;/�° ` ���`
Line #13 - Total Lar+fui Purpose rK ibutions. S 7036.00
List belaw all checks writt f gamblinq funds which are
charitable lawful purpose c t butio�s. The total dollar
amounts of these checks mus � ch the amount claimed in
line �13. Use additio�al sh e as necessary.
CHECK # DATE ' PAYEE CHECK AMOUN PURPOSE
1.
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3. _2411 10-5-88 American Legion Po t 9 $1308.00 National Flnblem ( out) 0.00)
N.E.A.L. Baseball�(500.0 �
4_ American Red Cross (100.00)
Vets Hospital (30.00)
5 . Vets Pheasant Dirmer (50.00)
Memorial Day Assn. (53.00)
6. Nursing Program (25.00)
Boys & Girls Club (100.00)
�. Memorial Rifle Squad (300.00)
Cambridge State Hosp. (100.00)
8.
9. . .
10. �
11.
12. .
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.
TOTAL CNECK UNT S 1308.00
NOTE: These expenditures will be prov d to Council Members at your Council hearing.
• Be sure that your financial rep rt is complete and accurate.
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� • UNIFORM CNARI7ABLE 6LING FINANCIAL REPOR7 C�a 7��T
_ " � " LAWFUL PURPOSE CON I UTIONS - WORKSHEET
Line �13 - Total Lawful Purpose Con ri utions. ; 7036.00
List below all checks written gambling funds which are
charitabie iawful purpose cont 'b tions. The total dollar
amounts of these checks must tc the amount claimed in
line �I3. Use additional shee s s necessary.
CNECK # DATE ' PAYEE CHECK AMOU PURPOSE
1.
2.
3. _
4• 2434 12-14-88 American Legion Post 49 1839.00 VA Hospital (46.56)
Herb Davis Vet. Affairs (30.00)
5. American Legion Auxiliary (256.80)
Service Mens Center (25.00)
�. Auxiliary Fmergency Fund (25.00)
Boy Scout Troop 74 (50.0�)
7. Christmas Seals (10.00)
Vets Hosp. Bingo (60.00)
8. American Ed. Week (pens) (114.00)
Brain Science Chair (125.00)
9, . Our Lady. of Good Council (300.00)
Gospel Mission (100.00)
10. Salvation Army (200.00)
. Sauk Center Correc. Fac. (50.00)
11. d Red Wing Trainin Ctr. (50.00)
St. Joseph Home �100.00)
12. • Cretin High School (200.00)
� ' Fort Snelling C�apel (50.00)
13. . Dorothy Day Center (25.00)
George Grui Post 572 (22.00)
TOTAL CHECK U T S 1839.00
NOTE: These expenditures will be provid o Council Members at your Council hearing.
• Be sure that your financial repo i complete and accurate.
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� • UNIFORM CNARITABI BLING FINANCIAL REPORT
. � � � LAkFUI PURPOSE CO TRI UTIONS - WORKSHEET ��'��`�
,
' Line �13 - Total La+�ful Purpose Co ri utions. S 70�6_00
List below all checks written gambling funds which are
charitable iawful �rpose con ib tions. The total dollar
amounts of these checfcs �st tc the amount claimed in
line �13. Use additional shee s necessary.
CHECK # OATE ' PAYEE CHECK AMOU PURPOSE
1.
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5. 2452 2-1-89 American Legion Post 49 $1284.00 Service Mens Center (100.00)
Boy Scouts (100.00)
6, � Police Memorial (85.00)
Hospitalized Vets (100.00)
�. 4th Dist. fishing contest (104.00)
Legionville (6 peo le) (330.00)
8. Boys State (405.00�
Vets Hosp. Bingo (60.00)
9. . .
10. �
11.
12. �
13. �
TOTAL CliECK UN S 1284.00
NOTE: These expend�tures will be provid Council Members at your Council hearing.
• Be sure that your financial report is complete and accurate.
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