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· .//.,~...~ ........ ~ Site License Number <br /> (Attorney General Use Only) <br /> SFN- 17996 <br />~ NORTH DAKOTA GAMES OF CHANCE <br /> 8IT~ AUTHORIZATION <br /> <br /> Red River Human Services Foundation is hereby authorized to conduct games of <br /> (Name of Organization) <br />chance under the license granted by the Attorney General of ~he State of North <br />Dakota at the location known as Wild Rice Bar and Grill the address of <br />which is: Wild Rice 58047 Cass <br /> (Street) (City) (zip Code) (County) <br />Date (s) authorized: Beginning ~_m~_n~ Ending 6-3Q-Q4 <br />specific location of gaming opera~i~s ~thin facility: Northea.~ of n~n door of <br /> <br />Number of twenty-one tables: One (1) <br /> <br />RESTRICTIONS: (To be completed o~Y <br />body) <br />1. Days of week of gaming operations <br />2. Hours of gaming <br />3. List ~achspecific 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 /> ( __) <br /> si'r.e L,i. oeuse Number <br />(AtCozney ~ene=al Use 0o1¥) <br /> SFIq - 1~996 <br /> <br />Da)mia at r. be <br /> <br />{Attoxm~f ~-al) Orate (Sig~atur~ of City/County ~4~tor) Date <br /> <br />;~ut~,Z: ~tte & ca~xy - A~to~¥ C~=eral Pink - To ~ re~ ~ city/co~ty <br /> <br /> <br />