Cmed Ir 469 Machine Verification Checklist

Page No. Page __ of __ Form No. CMED IR-469 MACHINE VERIFICATION CHECKLIST Revision No. 1 Effectivity July 12, 2023 LICENSEE: DATE: CLUSTER: TIME: MACHINE DETAILS JACKPOT LINK DETAILS LOCATION : JACKPOT LINK NAME : SERIAL NUMBER : JACKPOT LEVEL #s : ASSET NO. / MACHINE ID : LEVEL 1 : PAGCOR TAG : LEVEL 2 : MANUFACTURER : LEVEL 3 : GAME THEME : LEVEL 4 : GAME TYPE : LEVEL 5 : DENOMINATION : LEVEL 6 : CURRENT SEAL NUMBER : Kindly see attached documents for more machine specifications (options, setups, configurations, interface, peripherals of hardware & software' machine, game, jurisdictions, credit limit, denom, progressive level, languages, COMMS, RTP%, bonuses, vouchers, min/max RTP%, min/max bets, firrmware, versions, button test, etc.) through customized machine verifications of the Licensee. PREPARED AND COMPLETED BY: VERIFIED BY: NOTED BY: LICENSEE TECHNICIAN LICENSEE MANAGER/SUPERVISOR PAGCOR MONITORING TEAM