2.5 Report on Gross Gaming Revenue and PAGCOR Share (Electronic Gaming)

WEEKLY GROSS GAMING REVENUE AND PAGCOR SHARE REPORT

(ELECTRONIC GAMING) Company Name Trade Name : GL Expiration Date : Gaming Site Address : Period Covered:

3wW K DATE Deposit/Reload () Redemptioni Winnings ((B) Gross Hold (C)=A- B Contribution Progressive Jackpot (D) Jackpot Payout Progressive (E F=C-D+E GGR (G) = F * 47.5% PAGCOR SHARE

Sub-Total PO.00 PO.00 PO.00 PO.00 PO.00 PO.00 P0.00 3Ww K

3 Sub-Total PO.00 PO.0O PO.00 PO.0O PO.00 PO.00 PO.0O 3WW K

3 Sub-Total PO.00 PO.00 PO.00 PO.00 PO.00 PO.00 PO.00

34WE K

4

Sub-Total PO.00 PO.00 PO.00 PO.00 PO.00 PO.00 PO.00

3WWX

5

Sub-Total TOTAL PO.00 P0.00 PO.00 P0.00 P0.00 P0.00 PO.00 P0.00 P0.00 P0.00 PO.00 P0.00 PO.00 P0.00

from Previous Month Over/(Short) Week 1 Week 2 Week 3 Week 4 Week 5 Overi(Short) Pagcor Share Offsetting Amount Due to . Pagcor PO.00 PO.0 PO.00 PO.00 PO.00

Submitted by: Checked/ Verified by:

GAMING STE REPRESENTATIVE (Signature Over Printed Name) (Signature Over Printed Name) PAGCO REPRESENTATVE