Slot Route Operator Informational Report
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Slot Route Operator Informational Report Form. This is a Nevada form and can be use in Nevada Gaming Commission And State Gaming Contol Board Statewide.
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Tags: Slot Route Operator Informational Report, NGC-36, Nevada Statewide, Nevada Gaming Commission And State Gaming Contol Board
Defendant(s)
:
......................................................
NEVADA GAMING COMMISSION
NGC-36 (03-01-04)
Slot Route Operator Informational Report
THE PEOPLE OF THE STATE OF NEW YORK
TO Period Covered:
Report for:
Location
Number
Page
Name and Address
General Information
SL or Part:
Days Operated
E.O.Q.:
% Ownership:
Pri/Sec:
SL or Part:
Days Operated
E.O.Q.:
% Ownership:
Pri/Sec:
SL or Part:
Days Operated
E.O.Q.:
% Ownership:
Space
Lease
Payment
Filing Deadline:
Total $ Win
Retained
GREETINGS:
By S.R.O
State fees Paid by S.R.O.
Denomination
Annual
Total
Drop
in Dollars
Total
Win
in Dollars
.05
Quarterly
.25
Annual
.05
Percentage
.25 , 20
1.00
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Percentage
1.00
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Other
Witness, Honorable
Quarterly
Court in
County,
day of
, one of the Justices of the
Other
Pri/Sec:
Annual
.05
Days Operated
Quarterly
Percentage
1.00
(Attorney must sign above and type name below)
.25
E.O.Q.:
Attorney(s) for
Other
Pri/Sec:
SL or Part:
Annual
.05
Days Operated
Quarterly
.25
E.O.Q.:
% Ownership:
Total
Coin-in
in Dollars
WE Annual
COMMAND YOU, that all business.05 excuses being laid aside, you and each of you attend before
and
,
the HonorableQuarterly
at the
Court
.25
located at
County of
Percentage
1.00
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as Other
a witness in this action on the part of the
SL or Part:
% Ownership:
Avg # of
Machines
Operated
Percentage
1.00
Pri/Sec:
To submit this form using an Excel spreadsheet, call the Gaming Control Board Tax and License Division at 775-684-7770.
Pre-filled fields in the general Information column are based on your prior NGC-36 filings and other available information.
Please review the pre-filled information to insure that any changes related to the location are properly reflected.
Correct if necessary.
Office and P.O. Address
Other
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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