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FOR OFFICIAL USE ONLY Year s Requested Date Sent Mail Statement Fax Statement Pick-Up Statement WIN / LOSS STATEMENT REQUEST FORM / Sent By Verified By Instructions PickUp Date Fax Etc. Please Allow 2 Weeks To request a Win/Loss Statement please fill out as much of the following information and return to us. MAIL Presque Isle Downs Casino PO Box 10728 Erie PA 16514 FAX 814 860 - 3390 SCAN EMAIL jwagner pidowns. FOR OFFICIAL USE ONLY Year s Requested Date Sent Mail Statement Fax Statement...
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