Spreadsheet: 02271f00-aa32-48d9-96f4-9738799c841c
Sheet: Sheet1

[NAME] and Fills Worksheet | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9
XXXXXX Casino |  |  |  |  |  |  |  |  | Use the items below to copy into appropiate cells
 |  | Question 3 | Question 4 | Question 5 | Question 6 | Question 7 | Question 8/11 | Question 9/12
 |  |  |  |  |  |  |  | Independent Mgmt | Yes þ  No r
Payout |  | Date & |  | $ [NAME] | Game | Preprinted | Two | Signature if | Yes r  No þ
Form # | $ [NAME] | Time | Machine # | Alph & Num | Outcome | or Sequential | Signatures | Over Payout Limit
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