NEVADA STATE GAMING CONTROL BOARD

Technology Division
Gaming Device Software Modification Approval Request

Manufacturer: Rem vitae ullamco qu Licensee #: Debitis consectetur

Min Payback %: 85 Max Payback %: 99
Optimal %: 94 Nbr. Of Reels: 48
Nbr. Of Max Stops: 16 Game Type: Race
Max Coin/Play: Qui esse maiores Na Max Coin/Wager: Velit duis esse prov
Max JP Odds: no Emergency: no

Name / Model Type of Software

Twine

Attach Description of Modification.All submissions must include a description of modifications made to

the previously approved software which fully describes all modifications.
I certify that:
a. The above information completely describes this request.
b. This software use is intended for the Nevada Market.
c. This software is in compliance with applicable Nevada Revised Statutes, Nevada Gaming Commission
and State Gaming Control Board Regulations, Technical Standards and Minimum Internal Control
Standards.
d. Copyrights are held by:
e. This software was designed and developed by: Sint autem sunt obca

Sit necessitatibus (Submitting Manufacturer)

hereby agree to indemnify, hold harmless and defend, not excluding the State’s right to participate, the State of Nevada, the Nevada Gaming
Commission, the State Gaming Control Board, the Nevada Attorney General and each of their members, agents, and employees in their
individual and representative capacities from any and all claims against the agencies or persons named in this paragraph, arising out of the
submission, application, investigation and deliberation concerning this application, and against all liabilities, expenses, damages, charges and
costs, including court costs and attorney’s fees, which may be sustained by the person or agencies named in this paragraph as a result of said
claims, suits and actions.

Signature of Company Official Date

Last Updated November 29, 2007 Instructions can be found at www.gaming.nv.gov to complete form. Page 1 of 1