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Slot Route Operator Informational Report NGC-36 - Nevada

Slot Route Operator Informational Report Form. This is a Nevada form and can be used in Tax And License Division Nevada Gaming Commission And State Gaming Contol Board Statewide .
 Fillable pdf Last Modified 6/9/2005
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NGC-36 (03-01-04) NEVADA GAMING COMMISSION Slot Route Operator Informational Report Page Report for: Period Covered: Filing Deadline: Space Total $ Win Avg # of Total Total Total Location Lease Retained Denom- Machines Coin-in Drop Win Number Name and Address General Information Payment By S.R.O State fees Paid by S.R.O. ination Operated in Dollars in Dollars in Dollars SL or Part: Annual .05 Days Operated Quarterly .25 E.O.Q.: Percentage 1.00 % Ownership: Pri/Sec: Other SL or Part: Annual .05 Days Operated Quarterly .25 E.O.Q.: Percentage 1.00 % Ownership: Pri/Sec: Other SL or Part: Annual .05 Days Operated Quarterly .25 E.O.Q.: Percentage 1.00 % Ownership: Pri/Sec: Other SL or Part: Annual .05 Days Operated Quarterly .25 E.O.Q.: Percentage 1.00 % Ownership: Pri/Sec: Other SL or Part: Annual .05 Days Operated Quarterly .25 E.O.Q.: Percentage 1.00 % Ownership: Pri/Sec: Other To submit this form using an Excel spreadsheet, call the Ga ming Control Board Tax and License Division at 775-684-7770. Pre-filled fields in the general Information column are based on your prior NGC-36 filings and other available information. Please review the pre-filled information to insure that any changes related to the location are properly reflected. Correct if necessary.
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