Get Mi Bsl-cg-1365 2010-2025

Charitable Gaming Division 101 E. Hillsdale Box 30023 Lansing Michigan 48909 517 335-5786 www. michigan.gov/cg RAFFLE TICKET ACCOUNTABILITY Complete this form for your records. Do not mail in* Organization Name Recordkeeper Tickets Issued For Sale Ticket Seller s Name Phone Date From Through License Number Tickets or Stubs Returned of Tickets Stubs Cash Rec d of Unsold Stubs Not Returned Totals COMPLETION Required* PENALTY Failure to complete this form may result in administrative action* Authority Act 382 of the Public Acts of 1972 as amended* BSL-CG-1365 R8/10 This form is designed to assist licensees in complying with the raf e rules. If another ticket accounting method is used by your organization including the use of a computer program it must contain at a minimum all the information on the front of this form* List each ticket seller s name phone. For each seller indicate The date the tickets were issued for sale. The beginning and ending ticket numbers. The number of tickets issued for sale. The date tickets and/or ticket stubs were returned* Amount of cash received* The number of unsold tickets returned* Calculate and enter the number of tickets or stubs that the ticket seller has not returned* If the same ticket seller is issued additional tickets to sell another entry is made for that ticket seller. Do not mail in* Organization Name Recordkeeper Tickets Issued For Sale Ticket Seller s Name Phone Date From Through License Number Tickets or Stubs Returned of Tickets Stubs Cash Rec d of Unsold Stubs Not Returned Totals COMPLETION Required* PENALTY Failure to complete this form may result in administrative action* Authority Act 382 of the Public Acts of 1972 as amended* BSL-CG-1365 R8/10 This form is designed to assist licensees in complying with the raf e rules. If another ticket accounting method is used by your organization including the use of a computer program it must contain at a minimum all the information on the front of this form* List each ticket seller s name phone. If another ticket accounting method is used by your organization including the use of a computer program it must contain at a minimum all the information on the front of this form* List each ticket seller s name phone. For each seller indicate The date the tickets were issued for sale. The beginning and ending ticket numbers. For each seller indicate The date the tickets were issued for sale. The beginning and ending ticket numbers. The number of tickets issued for sale. The date tickets and/or ticket stubs were returned* Amount of cash received* The number of unsold tickets returned* Calculate and enter the number of tickets or stubs that the ticket seller has not returned* If the same ticket seller is issued additional tickets to sell another entry is made for that ticket seller. Do not mail in* Organization Name Recordkeeper Tickets Issued For Sale Ticket Seller s Name Phone Date From Through License Number Tickets or Stubs Returned of Tickets Stubs Cash Rec d of Unsold Stubs Not Returned Totals COMPLETION Required* PENALTY Failure to complete this form may result in administrative action* Authority Act 382 of the Public Acts of 1972 as amended* BSL-CG-1365 R8/10 This form is designed to assist licensees in complying with the raf e rules. If another ticket accounting method is used by your organization including the use of a computer program it must contain at a minimum all the information on the front of this form* List each ticket seller s name phone. For each seller indicate The date the tickets were issued for sale. The beginning and ending ticket numbers. .