Eastern Shawnee Tribal Gaming Commission
Notification Form
Date:
SHIPPING/DELIVERY INFORMATION
All software must be received 10 days prior to activity.
All software ships to:
ESTGC/Angelia Ruiz
12751 South 705 Rd.
Wyandotte, OK 74370
Gaming Commission Address:
Angelia Ruiz
12751 South 705 Rd.
Wyandotte, OK 74370
aruiz@estoo.net
Work Notes:
SOFTWARE INFORMATION
Shipped VIA: Tracking #:
Date Shipped: Installation Date:
Arrival Date:
Game Theme Version Paytable ID Quantity Par Sheet on CD Lab Cert on CD
Print
E-Mail
Company Name
Address
Contact Name
Contact Number
Eastern Shawnee Tribal Gaming Commission
Notification Form
INSTALLATION/REMOVAL
Activity Location:
Shipped VIA: Seal Number:
Date Shipped: Removal Date:
Arrival Date:
Scheduled Activity Date: Time:
Serial Number Game Theme Machine Type
Notes:
Print
E-Mail
Bordertown Casino-70400 E. 128 Rd., Wyandotte, OK 74370