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Lease for Bingo Activity - LG222 <br />Name of Legal Owner of Premises //�J SlreetAddress n <br />• / Ca n e <br />fe r n- <br />Narne of Lessor SlreetAddress <br />(11 sarno as legal owner, write In "SAME ') <br />A ryt <br />Name o1 Leased Premises <br />A.. ' H- /c. C a n n. d.e. <br />t <br />• <br />SlreetAddress <br />'00 R; <br />Name of Lessee (name of organization leasing the premises) <br />/ ea_ -ada / %S�rc� <br />Bent Information <br />Rent for bingo and all olher garbling activities conducted <br />during a bingo occasion may not exceed: <br />(1) $200 per occasion for up to 6,000 square feet; <br />(2) $300 per occasion for up to 12,000 square feel; <br />(3) $400 per occasion for more than 12,000 square feet; <br />or <br />(4) less per <br />f toccasion <br />e for <br />bingo c`organizallon must regar - <br />conduc( another form of lawful gambling, and the <br />piemises must serve Inlozlcaling liquor or 3.2 percent <br />malt beverages. <br />Slcetcil and Dimensions of Leased Area <br />Sketch: For all areas being leased for lino conduct of <br />gambling and storage o1 gambling product <br />leased this <br />remiss), <br />attach a sketch (drawing) showing: (I) the <br />and (2) the dimensions. <br />Dinlenslons 1 R /1 e u el by <br />The leased areas are: <br />feel by <br />feel by <br />Storage __ _.__.- feet by <br />Storage rent by <br />City ,_, Zlp <br />�,� <br />City Zip <br />City <br />5A L,N /cca_ <br />/ <br />Zip. <br />SSi r5 <br />/IN , <br />GCB license no. of organization <br />Daytime Phone <br />St <br />( 4-,-4.. ) re _ /‘‘.5" <br />DayUrne Phone <br />( ) <br />Daytime Phone <br />LS/ )122-/z03 <br />Daytime Phone <br />( LS/ ) /S'f- /7S5° <br />• The total rent may not be based on a percentage of <br />receipts frorn lawful gambling or attendance at a bingo <br />occasion. <br />affiliates nforr space used fo rent to <br />r the condu <br />ct lo1 lawful any Its <br />gam- <br />bling. <br />Rent to be paid per bingo occasion $ aZ 3 8439' <br />(If no rent Is lo be pald, Indicate -0 -) <br />Gorll'femleds Porndt:'Ronewal AOipllcaiibns4iJr iy 4 Ifiio <br />cllungsei.liaye boenunadoini tho,nler y011j dot ibt haVe';_ <br />id!completh 1111sisec6oniol proVidir a sliiitb t')10;1 1 <br />Poet fora total of <br />_ <br />het fora total of <br />_ feet for a total of <br />_ feet for a total of - <br />_ feet for a total of _ <br />Combined total <br />I (9 <br />square feet. <br />square feet. <br />square feel. <br />square (eel. <br />square feet. <br />square feel. <br />Times and Days of Bingo Occasions <br />Enter bingo days and times below. Circle a.m. or p.m. after each beginning and ending lime. A bingo occasion must continue <br />at each occasion. An organization (as lacwhole) may notr conduct rm n <br />ore Wan ten (10)tbingo occasiolns eachrweek. be held <br />peninnlnn /Gn lh1UJ1 ulo RaX I3eulunlncL n tins Flours Day i1e91iluin6! n«__S1 =uhf <br />Pay t6r 5 to <br />S e' L.u. -B-c.. <br />to <br />to <br />to <br />to <br />to <br />Term of Lease <br />The term of tills lease agreement will be concurrent with the <br />premises permit issued by the Gambling Conlfoi Board. unless <br />lennlna(ed sooner by mutual consent of the lessor and lessee. <br />pr <br />to <br />to <br />Amended Lease Only <br />If Ills Is an amended lease showing changes occurring during <br />the term of the current premises permit, write In INc l date <br />ertles <br />the changes will be effective _1__... --- <br />that signed the lease must Initial and date all chang Page i of 2 <br />1/99 <br />Page 80 <br />