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Nebraska Application for County/City Lottery FORM •  Include license fee of $100 •  Incomplete applications will be returned
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Document Date: 2010-11-06 10:33:42


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City

LINCOLN / /

Company

Identify Separate Bank / /

Currency

USD / /

IndustryTerm

lottery operator / lottery worker license applications / daytime telephone number / lottery equipment / separate bank account / bank account number / /

Organization

Financial Institution of County / NEBRASKA DEPARTMENT OF REVENUE / CHARITABLE GAMING DIVISION / /

/

Position

Representative / Governing Official / /

ProvinceOrState

Primary County / Nebraska / Application County / Nebraska County / /

URL

www.revenue.ne.gov/gaming / /

SocialTag