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Schedule C <br />Date approved <br />by membership <br />1. C <br />N) c <br />Q a <br />C p <br />p <br />- - <br />Brief description <br />of expenditure: <br />Monthly federal wagering tax (federal form 730) <br />Federal unrelated business tax (federal form 9901) <br />and /or federal wagering tax stamp (federal form 11C) <br />Minnesota unrelated business tax (form M -4) <br />3% beat gambling tax <br />C O <br />c • <br />0 v <br />v PPo.c.T Ch1OCA- <br />pT+tt_ -i1 c ' 1Z.0 o rt Nm c... <br />1L Q <br />Q. <br />T <br />Amount <br />of check <br />Check made out to: <br />Internal Revenue Service <br />Internal Revenue Service <br />Commissioner of Revenue <br />17 Add lines 1 through 16. Fill In total here and also <br />on line 40 of your monthly summary and tax return . . $ <br />Check <br />number <br />Date <br />of check <br />4 <br />7 t3 /a <br />8 t Z /Z7 <br />c <br />0 <br />0 <br />3 <br />m <br />co <br />m <br />L <br />0 <br />0 <br />J <br />4104 <br />tO L5 <br />r <br />0 <br />`o c <br />mz. <br />as m <br />E <br />E <br />d 0 <br />c a. <br />0 <br />`o c <br />E <br />O <br />tE <br />N <br />a� <br />c m <br />B <br />E <br />m <br />c <br />N <br />m <br />