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Get NE Lottery 10-029-93 2019-2024

Rocessed By: Warrant Number: Misc. Approval Reason For Misc. Approval: Damaged Ticket Date By Date Validated By Another Retailer (No. ___________) Other _____________________________________ ATTACH TICKET AND WARRANT STUB TO BACK Please Play Responsibly. Nebraska Problem Gambling Help Line: 833-BETOVER (238-6837). 10-029-93 Rev. 1-19 SUPPLEMENTAL INFORMATION FOR LOTTERY USE (THIS INFORMATION TO BE PUBLICIZED ONLY BY PERMISSION OF THE CLAIMANT) Where did you buy your ticket?___________.

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