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<br />~1f~~,.\ <br />~~~~,,)I <br />.~~ ~y~7I <br />'~"~"-"J;; NORTH DAKOTA GAMES OF CHANCE <br />'~~t::~~>~ <br />~10\N ~i)\~~( TI>! t4~~~~~::::y authorized <br /> <br />(Name of Organization) ~ <br />chance under the license granted <br />Dakota at. e catio kno as . <br />which is: - JL '\ <br /> <br />--- (--) <br />Site License Number <br />(Attorney General Use Only) <br />SFN - 17996 <br /> <br />to conduct games of <br /> <br /> <br />State of North <br />th '\ addr~ss of <br />.a.5~ <br />~:un~~Y1 <br /> <br />RESTRICTIONS: (To be completed Qm.I: if <br /> <br />body) .~ <br />1. Days of week,of l\~~~.opera~ns 'd". <br />2, Hours of gam~ng ll~ - { iAt\\t ' <br />3, List ~ specific game rohibited - <br /> <br />restrictions are set by local governing <br /> <br />\\ (U\\- \ Q~ '> ~lir-d/~~-l Qh <br /> <br />(Signature of City/County Auditor) <br /> <br />Date <br /> <br />(Attorney General) <br /> <br />Date <br /> <br />Routing: White & Canary - Attorney General <br /> <br />pink - To be retained by City/County <br /> <br />.. <br />