Indianapolis Recorder, Indianapolis, Marion County, 3 October 2003 — Page 33

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Contestant Information: Contestant Name: Home Address: . ■ City: .State: /.ip Code: Home Phone: Work Phone: Cell Phone: E-mail: Please check one! If a winning card check C Winning card which kind! ! J Non-Winner card ] single Double Coverall Mail or Deliver to: The Hdosier Bingo TV Game Show 101 W. Ohio Street, Suite 20(K) Indianapolis, Indiana 46204 F m i * f n t F n n u m s m n r ; ,TV H xiAvjr Htn/o TVCam' 1 Sh ^ ij and . i ’a;-l,T'' P- h. - n A!i Hr^htj ^esi-.ived , ’

Contestant Information: Contestant Nan •: Home Ad.dtess . • ■ ■ ■ , City:_ .. State: /ip ('ode: : 11*ime Phone: u ■, " \\otk Phone: ‘ Cell Phone: E-mail:_ Please check one! If a winning card check 2 . Winning card which kind! LJ Non-Winner card Single Double Coverall Mail or Deliver to; The Hoosier Bingo TV Came Show 101 W. Ohio Street, Suite 2000, Indianapolis, Indiana 46204 • F wiNfNT F NTtBMt'.MtNt • T*tr v.-'i'P '{o TV - It * t .m,' • ■ ' •■■rr.i.vr 1 ! i* pi « , , ‘ ■; • . ..-A;! |tc.4i^v61 ,

Contestant Information: Contestant Name: Home-Address: . s.::

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Please check onel If a winning card check [ Winning card which kind! ( Non Winner card tS)ngle Doub | 0

Coverall

Mail or Deliver to: The Hoosier Bingo TV Came Show KM W. Ohio Sheet, Suite 2000 Indianapolis, Indiana 46204

State: /ip (’ode:

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