Form Sfn 3544 - Major Winning Ticket Identification - North Dakota Office Of Attorney General

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MAJOR WINNING TICKET IDENTIFICATION
MAJOR WINNING TICKET IDENTIFICATION
NORTH DAKOTA OFFICE OF ATTORNEY GENERAL
NORTH DAKOTA OFFICE OF ATTORNEY GENERAL
GAMING DIVISION
GAMING DIVISION
SFN 3544 (6-2012)
SFN 3544 (6-2012)
Site
Site
Organization
Organization
Label
Label
Label
Label
Name of Game
Date Placed
Date Closed
Name of Game
Date Placed
Date Closed
Top Tier Winning Ticket Value
Total Prizes
Control Number
Top Tier Winning Ticket Value
Total Prizes
Control Number
$
$
$
$
Gaming Stamp Number
Game Serial Number
Gaming Stamp Number
Game Serial Number
Game Serial Number
Top Tier Winners Redeemed
Game Serial Number
Top Tier Winners Redeemed
Total Number of Top Tier
Total Number of Top Tier
Winning Tickets
Winning Tickets
Jar Operator
Jar Operator
Date
Date
Audited By
Audited By
Date
Date

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