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________________ Date ______________ Approval D O S R _____________________________________ Date ______________ BINGO PRIZE SHEET Organization ID. # Page 2 of 2 Name of Organization: Address: City, State, Zip Code: Game No. Game Description Type Number of Faces per Cards/Sheets and Color Prizes Prizes Winning Arrangement ___ or More ___ or Less Players Players $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ .

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