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w 10201 (7itoA i) Afbint.tota iautrul Gambling Lease Agreement Premises 1 orinatiOrt Address City/Zip Code Phone Namo and Addros! of Lessor --Cr y� Am) SL 0.c" (e; /Z) 6 /e 3 70 -��4'/res Address City2ip Code Pfwne Name of Legal Owner of Gambling Promises /Z) �yf' 3 /7G cFL�;,9-CH 13.E ti io A `e f s/ i (r�ti- s iDs e amo an roar o ease remises f' oa 9C:ctys 41 ..5"::// 3 1./3420.4 owl 51 by L �'pG^' License Number, H known Name of Organization Leasing (ho Promisor (lessee) 02650 11 :14.1 t'.; M ddtribt #irt'' Acttvt The lawful gambling activity which the organization Will conduct 13 (check all that apply): 0 bingo Ct] tanle§ =II paddi$*heel3 IBCl pun -tabs =1 tipbolltrda Rent tnfor'ilatiof (See Rules 7860.0090, Subp 3) Class 8 and D promises permits: ChM A find C bremises permits: Rent for ambling activities not Including bingo Rent for bingo and all other gambling activities conducted is 3 maximum of $1000 per month. during that bingo occasion may not exceed: $200 for tip Id 13,000 §duare loaf: $300 for up to 12.000 square feet; and tdoo for more than 12,000 square feet. Ron to b1 aid er bl .o occasion ii/A Rent to be •aid •er month 3C4 Rent May riot be baled on A iccclit+s�cn of rocelpla, protl(3 'torn lawful gambling, et on the number of participant Attending a bingo An organization may not pay rent to itself or to any of its affiliates for space used for the conduct of lawful gambling. t'r iiecriptiOti square toot. leased within the promises aro toot by feet, for a total of sq are foal. The areas) feet. for a total of q (o loot by �F square lest. feet by foot, for a total of s q Combined total .52. hgUare felt 3ket6ii Attach a sketch which shows the location and dimensions of the leased areas. E i ecttve Dcitet 19 and will end at 12:00 a.m. on The lease will go into effect at 12:01 a.m. on 191,L__, for a period of at least one year. A ?lutes arid Days oj Bittgd Activity (It none, indicate WA) 5.4 The bingo occasions will be held (a maximum of 7 bingo occasions per ,organization): from (hours)________ a m. /p.m.) to (a.m. /p.m.) on (days of week) from (hours) (a.m. /p.m.) to (a.m./p.m.) on (days of Week) from (hours)_______. (a.m./p.m.) m./p.m.) id (a.m. /p.m.) on (days of week) from (hours)__ (a.m./p.m.) to (a.m./p.m.) on (days of week) from (hours)_____ (a.m. /p.m.) to (a.m./p.m.) on (days of week) from (hours)______ (a.m./p.m.) to (a.m. /p.m.) on (days of week) from (hours)____ (a.m. /p.m.) to (a.m./p.m.) on (days oI week)