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CG 202(9/89) <br />Lawful Gambling Lease Agreement <br />Premise Information <br />n1o_ /(e . rr S'r <br />e of legal premises ner (lessor) Address City/Zip Code Phone <br />>fir,"94uri d S/`/ m c c s 7. Z /f /c Co„..o d< C/1 <br />Name of sublessor (if any) Address <br />Name and address of leased premises Address <br />(/e-- /7-G. 17' el- n- -7-'4.- .L <br />Name of organization leasing the hee ic <br />premises (lessee) <br />Gambling Activity <br />The lawful gambling activity which the organization will conduct <br />=bingo ( raffles r---1 paddlewheels <br />Rent Information (See Rules 7860.0090, Subp 3) <br />Class A and C licenses: <br />Rent for bingo and all other gambling activities conducted <br />during that bingo occasion may not exceed: <br />$200 for up to 6,000 square feet; <br />$300 for up to 12,000 square feet; and <br />$400 for more than 12,000 square feet. <br />City/Zip Code Phone <br />City/Zip Code <br />"P, 'cc sT• /r t4- C &- <br />LicanseNumber, iiknown <br />C i/c? <br />Rent to be paid per bingo occasion $ <br />are (check all that apply): <br />pull -tabs tipboards <br />Class B and Q licenses: <br />Rent for gambling activities not including bingo <br />may not exceed $24 per square foot per month, <br />with a maximum of $600. <br />Rent to be paid per month $ • <br />Rent may not be based on a percentage of receipts or profits from lawful gambling. <br />Premises Description <br />The area leased within the premises. is Ao0 feet by 6o <br />feet, for a total of CO to 0 square feet. <br />Attach a sketch which identifies the location of the leased premises when a portion of a building is the leased premises. <br />That sketch must include the dimensions of the leased premises. <br />Effective Dates <br />The lease will go into effect at 12:01 a.m. on 3// <br />for a period of one year. <br />19 9?, and will end at 12:00 a.m. on 3 /g- 19 se <br />Times and Days of Bingo Activity (If none, indicate N/A) `] N/A <br />The bingo occasions will be held: <br />from (hours) (a.m./p.m.) to (a.m. /p.m.) on (days of week) <br />from (hours) (a.m. /p.m.) to (a.m. /p.m.) on (days of week) <br />from (hours) (a.m. /p.m.) to (a.m. /p.m.) on (days of week) <br />from (hours) (a.m. /p.m.) to (a.m. /p.m.) on (days of week) <br />from (hours) (a.m. /p.m.) to (a.m. /p.m.) on (days of week) <br />from (hours) (a.m. /p.m.) to (am. /p.m.) on (days of week) <br />Page 2 <br />