g. Permit for site auth/The Arc - Laserfiche WebLink

RENTAL AGREEMENT OFFICE OF ATTORNEY GENERAL STATE USE ONLY SITE LICENSE NO. SFN 9413 (Rev. 05-O1) G- ( ....)_ Site Owner (Lessor) Site Name Si~ Phone Number Brenda Hersch and Amy Nesemeier Club 94 Site Address City State Zip Code County 15568 37th St SE Casselton ND 58012 Cass Organiza~on (Lessee) Rental Period The Arc, Upper Valley, Inc. 7- -2002 to 6-30-2003 MonthlyRentAmount 1. IsBingotheprimawgameconductad?If"Yes,'ans~erquesfions2.Tbu~donotenterrent [] No [] Yes amounts for questions 3 - 7. 2. Is Bingo involving a dispensing device conduced? [] No [] Yes 3. is T~enty-One conducted? Numberof Tables w~ ~egers up to $5 X RentperTable$ I I No Yes Numberof Tables~ithv~gersover $5 I X RentperTable$ 150 $ ]50 4. Is PaddJev~heels conducted? Numberof Tables . . X Rentpermable $ [] No [] Yes 5. Is Pull Tabs involving both a jar bar and dispensing device conduced? $ 150 If"Yes,"skJpquesl~ons6&7. [] No [] Yes 6. tS Pull Tabs involving only a jar bar conducted? [] No [] Yes 7. Is Pull Tabs involving only a dispensing device conducted on this site? [] No [] Yes To~al Monthly Rent TERMS OF RENTAL AGREEMENT: ~ 300 This RENTAL AGREEMENT is between the Owner (LESSOR) and Organiza~on (LESSEE) War ~II be leasing the s~e to conduct games of chance, The LESSOR agrees that no game ~ill be directly operated as par~ of the lessor's business. The LES$OR agrees that the lessor, lessor's spouse, ]essor's common househoEI member, management, rnanagemem's spouse, officer, board member, or an employee or agent of the lessor ~ho approves this rental agreement, will not conduct or play games at 1fie site or be a gaming employee of the lessee. Howevor, We lessor agrees that a bar employee may redeem pull tabs or bingo cards, or both, involving a dispensing device and sell raffle lJcketa on behalf of the lessee. The LESSOR agrees that We lessor's oncall or temporary or permanent employee ~ill no/. directly or indirectly, conduct games atthe site as an employee oflhe lessee on the same day We employee is ~orking in the area of the bar ~here alcoholic beverages are dispensed or consumed. If the LESSEE provides the Lessor ~ a temporary loan of fonds for redeeming pull tabs or bingo cards, or both, involving a dispensing device, the Lessor agrees to repay the entire loan immediately when the Lessee discontinues using the device at the site. The LESSOR agrees not te interfere v~h or attempt to imtuence the [essee's selection of games, determina~on of prizes, including a bingo jackpot pdze, or disbursement of net proceeds. The LE SSO R agrees not ta loan moray to, provide gaming epuipment to, or count drop box cash for ~he lessee. At l~e LESSOR ~ oplJon, We lessee agrees that Wis rental agreement may be automalfoally terminated ~f the lessee's gaming license is suspended at this site for more than fourteen days or revoked. (over)