Games Of Chance Lottery Financial Report (F/r) Page 2

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Games of Chance Lottery Financial Report
Event Information
___________________
Total Number of Events
___________________
Total Number of Ticket Wheels per Event
___________________
Total Number of Crown and Anchor Wheels per Event
___________________
Total Number of Over and Under Wheels per Event
___________________
Total Number of Other Wheels per Event
___________________
___________________
Total Number of Instant Win Merchandise Games per Event
Yes
No
Total Number of Games of Chance per Event
Gross Proceeds (Total Sales)
Ticket Wheels
$ ___________________
Crown and Anchor Wheels
___________________
Over and Under Wheels
___________________
Other Wheels
___________________
Card Games
___________________
Instant Win Merchandise Games
___________________
Other Games of Chance
___________________
Ticket Raffles
___________________
Value of Donate Prize (Retail Value Less Purchase Price)
___________________
Total Gross Proceeds
$ ___________________ (A)
Prize Payouts
$ ___________________
Ticket Wheels
___________________
Other Wheels
___________________
Card Games
___________________
Instant Win Merchandise Games
___________________
Other Games of Chance
___________________
Ticket Raffles
Total Prize Payout
$ ___________________ (B)
Expenses
$ ___________________
Licencing Fees (See reminder section on front page)
___________________
Gaming Supplies
___________________
Advertising
___________________
Rent/Utilities
___________________
Salaries/Commissions
___________________
Professional Fees
___________________
Equipment Lease/Rent
___________________
Administration
___________________
Other ___________________________
___________________
Total Expenses
$ ___________________ (C)
Net Proceeds For Charity
$
(D)
(Total Gross Proceeds less Total Prize Payout and Total Expenses: A - B - C = D)
June 21, 2012
Service NL
Government of Newfoundland & Labrador

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