OREGON DEPARTMENT OF JUSTICE Raffle Sales Log This form must be maintained for raffles when sales are intended to exceed $10,000. Keep this form with University Events’ gaming records do NOT submit to DOJ! – R- Licensee: Raffle License #: Date of Raffle Drawing: Time: Location of Drawing City: Zip: (street address): List the names of all individuals who received tickets Sales Price $ Ticket Sales for sale. Include # of tickets received, returned unsold, per Ticket: lost, and sold, plus amount. # Tickets # Tickets # Tickets # Tickets $ Amount Money Seller’s Name Received Returned Lost Sold Turned-In $ Totals Subtotals (continue on reverse)
OREGON DEPARTMENT OF JUSTICE Raffle Sales Log This form must be maintained for raffles when sales are intended to exceed $10,000. Keep this form with University Events’ gaming records – do NOT submit to DOJ! Licensee: Raffle License #: R- Date of Raffle Drawing: Time: Location of Drawing (street address): City: Zip: Ticket Sales List the names of all individuals who received tickets for sale. Include # of tickets received, returned unsold, lost, and sold, plus amount. Sales Price per Ticket: $ Seller’s Name # Tickets Received # Tickets Returned # Tickets Lost # Tickets Sold $ Amount Money Turned-In Totals $ Subtotals (continue on reverse)