DIAGRAM 1 GAMING MACHINE WITH TOP BOX DIAGRAM 2 GAMING MACHINE WITHOUT TOP BOX Regulations 33 and 36 Regulation 50 Statement of Money Paid into *TOTALISATOR OR APPROVED BETTING COMPETITION Name of Race meeting or event Date of meeting or event I certify that the above is a true account of sums received through the totalisator or approved betting competition in relation to this meeting or event.
DIAGRAM 1 GAMING MACHINE WITH TOP BOX DIAGRAM 2 GAMING MACHINE WITHOUT TOP BOX Regulations 33 and 36 Regulation 50 Statement of Money Paid into *TOTALISATOR OR APPROVED BETTING COMPETITION Name of Race meeting or event Date of meeting or event I certify that the above is a true account of sums received through the totalisator or approved betting competition in relation to this meeting or event.