a. Site authorization permits - Laserfiche WebLink

RENTAL AGREEMENT OFFICE OF ATTORNEY GENERAL SFN 9413 (Rev, 02-2005) STATE USE ONLY SITE LICENSE NO, G- ___ _ ( Site Name Site Phone Number Site Owner (Lessor) Brenda Hocking Site Address City 15568 37th St SE Casselton Organization (Lessee) Rental Period The Arc, U er Valle Inc. 7-1-07 1. Is Bingo the primary game conducted? If "Yes," answer questions 2 - 7 but do not enter rent amounts for questions 3 - 7, Club 94 State Zip Code ND 58012 to 6-30-08 No 0 Yes 'EtJ No 0 Yes 0 No 00 Yes 2. Is Bingo involving a dispensing device conducted? 3. Is Twenty-One conducted? Number of Tables with wagers up to $5 X Rent per Table $ rj Number of Tables with wagers over $5 --L X Rent per Table $ 4. Is Paddlewheels conducted? Number of Tables ~ No 0 Yes 0 No ~ Yes ~ No 0 Yes ~ No DYes X Rent per Table $ 5. Is Pull Tabs involving both a jar bar and dispensing device conducted? If "Yes," skip questions 6 & 7, 6. Is Pull Tabs involving only a jar bar conducted? 7. Is Pull Tabs involving only a dispensing device conducted on this site? TERMS OF RENTAL AGREEMENT: County Cass Monthly Rent Amount $ $ $ $ g $ $ f5 $ $ Rent This RENTAL AGREEMENT is between the Owner (LESSOR) and Organization (LESSEE) that will be leasing the site to conduct games of chance. The LESSOR agrees that no game will be directly operated as part of the lessor's business, The LESSOR agrees that the (lessor), (lessor's) spouse, (lessor's) common household members, (management), (management's) spouse, or an employee of the lessor who is in a position to approve or deny a lease may not conduct games at any of the organization's sites and, except for officers and board of directors members who did not approve the lease, may not play games at that site. However. a bar employee may redeem a winning pull tab or bingo card involving a dispensing device and sell raffle tickets or sports pool chances on a board on behalf of an organization. The LESSOR agrees that the lessor's oneall or temporary or permanent employee will not, directly or indirectly, conduct games at the site as an employee of the lessee on the same day the employee is working in the area of the bar where alcoholic beverages are dispensed or consumed. If the LESSEE provides the Lessor with a temporary loan of funds 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 to interfere with or attempt to influence the lessee's selection of games, determination of prizes, including a bingo jackpot prize, or disbursement of net proceeds. The LESSOR agrees not to loan money to, provide gaming equipmenlto, or count drop box cash for the lessee. At the LESSOR'S option, the lessee agrees that this rental agreement may be automatically terminated if the lessee's gaming license is suspended at this site for more than fourteen days or revoked, r- ignature of Lessee (TOpE~Ve Official) ;O~ Date -5~7 (over)