Barcode Label Sheet - Minnesota Department Of Revenue
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1Barcode Label Sheet
Attach barcode labels to this sheet in the same order as the games are reported on Schedule B2. Use
Federal ID Number (FEIN)
Minnesota Tax ID
License Number
separate sheets for each type of game reported or game status and each site.
Name of Gambling Site
Site Permit Number
Month/Year Reported
Page
of
Total Barcodes
Type of Game (check one)
Paper Pull-tabs
Progressive Pull-tabs
Tipboards
Game status: These labels are from games (check one)
this Page
Progressive Tipboards
Paddletickets
Raffle Boards
Played
Reported as a Fund Loss
Missing
Defective
(Rev. 12/15)
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Parent category: Financial