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Get Canada OLG Monthly Report to Municipality

PERMIT #: Number of Assignments : Charitable Organization: Address: Municipality: Postal Code: Charitable Gaming Centre Supported: Charitable Gaming Centre Address: (A) Previous Period Closing Balance (Item “E” from last report): Revenue Received from CGC Participation Interest Date: Date: Description: Description: Description: Description: Administration Expenses (e.g. Bank Fees) Use of Proceeds Paid To $ $ $ (B) Total Revenue Received: $ (C) Total Administrative Expenses: .

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