02 - Forms - Table Games March 17, 2025.xls

	B	C	D	H	J	K
1
2
3
4
5
6
7
8
9	Licensee Name				Gaming License #
10
11	Dates of Additional Payout			Operating Times of Additional Payout
12	FROM		TO	FROM	TO
13		BJ Table	Additional Payout Description			Cost (in$) of Additional Payout
14		Number	Additional Payout Description			Cost (in$) of Additional Payout
15	1
16
17
18	2
19
20
21	3
22
23
24	4
25
26
27	5
28
29
30	6
31
32
33	7
34
35
36	8
37
38
39	9
40
41
42	10
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100