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Get Graton Resort & Casino Gaming History Win/Loss Request

Is a request for a previous year’s statement of play. PLEASE PRINT Name (first name) (middle name) (last name) Address City State Zip Phone ( ) Date of Birth / (mm/dd/ y y) / Social Security No. - - Rewards Card No. Tax Year(s) Requested I am requesting that The Graton Economic Development Authority (dba Graton Resort & Casino) provide my historical gaming activities for the year(s) listed above. I hereby release and hold harmless Graton Resort & Cas.

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