PDF-TLC 16345 Rev 920Item 3d 150 Prize fee due to municipality if applic

Instructions 150 Bingo Occasion Report NonRegular Temporary Bingo OccasionsTLC 16345 Rev 920Filing Instructions 150 USE BLACK OR BLUE INKThis form must be completed

150 item prize enter item 150 enter prize total fee bingo due amount report line prizes occasions occasion paid

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