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DUE DATE December 6 2006 FOR INTERNAL USE ONLY Method of Payment Check Money Order Cash Receipt New Mexico Gaming Control Board 4900 Alameda Blvd NE Albuquerque NM 87113 505 841-9700 Bingo Renewal Form Revised Entity Control Number BINGO RAFFLE LICENSE RENEWAL License Type Nonprofit Bingo Renewal Renewal License Fee Do not alter this form in any way Complete all sections of this application This application must be prepared in black/blue ink or .

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