2.4 Report on Gross Sales and PAGCOR Share for Traditional Bingo

3

WEEKLY GROSS SALES AND PAGCOR SHARE REPORT

Bingo Gaming Site: Bingo Gaming Site Location: Operator: Period covered (TRADITIONAL BINGO)

DATE Gross Sales 2 Payout b Revenue (GGR) Gross Gaming C= (a-b Franchise Tax (5% d = c*0.05 of GGR) PAGCOR Share (15% of GS) e = a*0.15 Tota (d+e)

3 w w X

N Sub-Total P0.00 P0.00 PO.00 PO.00 PO.00 PO.00

Wt Y A

2 Sub-Total PO.00 P0.00 P0.00 PO.00 PO.00 PO.0O

W Ww Y 3 Sub-Total P0.00 PO.00 PO.00 PO.00 PO.00 PO.00

W EeX 4

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

W E Y E

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

Pagcor Share FT Offsetting to PAGCOR Amount Due FT from Previous Month Over/(Short) Week 1 PO.00 Week 2 PO.00 Wee k 3 PO.00 * Week 4 PO.00 Week 5 Po.00

Note: Any adjustments for the previous week should aiready be reflected on the latest report Submitted by: Checked/ Verified by:

BINGO GAMING SITE REPRESENTATIVE (Signature Over Printed Name) (Signature Over Printed Name) PAGCOR REPRESENTATIVE