Certification Of Winners Commodity Games Of Chance
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certification Of Winners Commodity Games Of Chance Form. This is a New York form and can be use in Miscellaneous Secretary Of State.
Loading PDF...
Tags: Certification Of Winners Commodity Games Of Chance, DOS-262, New York Secretary Of State, Miscellaneous
NYS DEPARTMENT OF STATE
Miscellaneous Records Bureau
41 State Street
Albany, NY 12231
Certification of Winners - Commodity Games of Chance
I certify that the persons whose names are shown below and on attached sheets have been awarded prizes in the amount or value shown and on date shown. This contest is
registered with the New York Secretary of State under Sponsor Name
, Name of Game
and File No.
DATE
NAME OF WINNER
DOS-262 (Rev. 10/00)
NAME
TITLE
ADDRESS (STREET, CITY, STATE, ZIP)
FIRM
DESCRIPTION OF PRIZE
AMOUNT OR VALUE
DATE PRIZE
DELIVERED
American LegalNet, Inc.
www.USCourtForms.com
