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Get Lg0007 Prize Receipt Form

PRIZE RECEIPT FORM The following format information is prescribed by the Board for the prize receipt form. PRIZE RECEIPT Complete in ink. Staple winning ticket and winning seal if any to prize receipt Organization name Date Value of prize Name of game Bingo 100 Bingo alternative prize Tipboard 100 Paddlewheel 100 Paper pull-tab 100 Last sale prize 20 or more Site location Game serial number RECEIVED BY Name print Address City state zip Driver s l.

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