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Shipment notification from TGA

This is to notify the Washington State Gambling Commission that the following shipment has been authorized for shipment in compliance to state statute and tribal compact. This serves as shipment authorization for the licensed manufacturer.

Shipment information

Tribe TR Number

Manufacturer

How many terminals to ship

Between

Begin

End

Shipping address information

The terminals will be shipped from:

Name

From

Address

Address 2

City/Town

State

ZIP Code

The terminals will arrive at:

Name

Arrive at

Address

Address 2

City/Town

State

ZIP Code

Submitter information

Comment

Submitter email

Submitter phone number

Submitted by