Fillable 637177093307530000 BINGO Monthly Report For Small (City of Carson, California)

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637177093307530000 BINGO Monthly Report For Small (City of Carson, California)

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Exhibit F
MONTHLY BINGO REPORT Month _________ Year ________
for "small groups" *
Organization name
Total monthly attendance Number of sessions conducted
Bingo location
Street City Zip
GROSS RECEIPTS
1 Total bingo sales $
2
Other sales derived from bingo games
3 Total gross receipts (line 1 + line 2) $
PRIZES AWARDED
4 Total prize payouts $
Preparer's signature Mail complete report to:
City of Vacaville
Finance Division
Preparer's phone number Attn: Bingo Reporting
650 Merchant Street
Vacaville, CA 95688
due 30 days after end of month
* This report is to be used by licensees awarding less than $1,500 in prizes during the calendar month
(Vacaville Ordinance 5.24.061.C.1).
3/99 (rev.)
City of Vacaville Bingo Reporting
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637177093307530000 BINGO Monthly Report For Small (City of Carson, California)

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Completed 28 July 2021

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