Form 35a - Nebraska Lottery By Pickle Card Annual Report - 2012-2013 Page 8
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9NEBRASKA SCHEDULE II — Summary of Pickle Card Sales and
FORM 35A
Calculation of Number of Units Sold
Schedule II
Page 3
Attach this page to Form 35A (page 1).
Organization's Name on Form 35A
Nebraska ID Number
35 —
Part A — Sale of Pickle Cards by Organization Including Sales to Operators
for the period July 1, 2012 through June 30, 2013.
Attach additional sheets, if necessary.
(E)
(A)
(B)
(C)
(D)
(F)
Operator’s
Number of
Gross
Prizes
Definite
Amount Received
Commission
Units Sold
Proceeds
Paid
Profit
from Operator
Per Invoice
$
$
$
Sales at Club,
Bingo, or Special Function:
Sales by Operator Name:
$
$
Total Operator Sales
from Additional Sheets
$
$
$
$
$
1 Total all sales
1
Part B — Calculation of Number of Units Sold and Corresponding Gross Proceeds and Definite Profit
(G)
(H)
(I)
Number of Units
Gross Proceeds
Definite Profit
$
2 Beginning inventory July 1, 2012 (include units in play)
$
(from list on reverse side) ..........................................................
2
3 Pickle cards purchased July 1, 2012 through June 30, 2013
(see instructions) .......................................................................
3
4 Total (line 2 plus line 3) .............................................................
4
$
$
5 Ending inventory June 30, 2013 (include units in play)
(from list on reverse side) ..........................................................
5
6 Number of units sold, corresponding gross proceeds, and
$
$
definite profit (line 4 minus line 5). These amounts must equal
the amounts on line 1, columns A, B, & D above, respectively ....
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