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NORTH DAKOTA GAMES OF CHANCE <br /> 8IT~ AUTHORIZATION <br /> <br />( ) <br /> <br /> Site License Number <br />(Attorney General Use Only) <br /> SFN- 17996 <br /> <br /> The Arc, Upper Valley, Inc. is hereby authorized to conduct games of <br /> (Name of Organization) <br />chance under the license granted by the Attorney General of the State of North <br />Dakota at the location known as Club 94 the address of <br />which is: 15568 37th St SE Casselton 580]2 Cass <br /> <br /> (Street) (City) (Zip Code) <br />Date(s) authorized: Beginning 7-1-2003 Ending 6-30-2004 <br />Spacific location of gaming operations within facility: <br /> SW corner <br /> <br />(County) <br /> <br />Number of twenty-one tables: One <br /> <br />RESTRICTIONS: (To be completed ONLY <br />body) <br />1. Days of week of gaming operations <br />2. Hours of gaming <br />3. List each specific game prohibited <br /> <br />if restrictions are set by local governing <br /> <br /> (Attorney General) Date (Signature of City/County Auditor) Date <br /> <br />Routing: White & Canary - Attorney General Pink - To be retained by City/County <br /> <br />SUGGESTED MOTION: <br />Move to grant site authorization permits to conduct games of chance under license issued <br />by North Dakota Attorney General's Office for the period of July 1,2003 through June 30, <br />2004, as follows: The Arc, Upper Valley, Inc. at the Club 94, Casselton; Red River Human <br />Services Foundation at the Wild Rice Bar and Grill, Wild Rice; and National Multiple <br />Sclerosis Society-Dakota Chapter at the Knickerbocker Liquor Locker, Hickson. <br /> <br /> <br />