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Get ND SFN 9801 2017-2024

FOR GAMING FUNDS Date Check Number Check Date Eligible Use Code — Organization NORTH DAKOTA OFFICE OF ATTORNEY GENERAL GAMING DIVISION SFN 9801 (11-2017) Legal Name of Organization or Individual Applying For Funds Contact Person for Applicant Mailing Address City Telephone Number State ZIP Code Detailed Description of Intended Use of Gaming Funds: Applicant agrees to retain documentation of the use of the funds for three years Signature of Applicant from the date funds are recei.

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