Shipment Notification from TGA  
This is to notify the Washington State Gambling Commission that the following shipment has been authorized for shipment in compliance to state statute and tribal compact.  
This serves as shipment authorization for the licensed manufacturer.  
Tribe TR Number:
Manufacturer:
to ship:
How many:
terminal(s)
Between:
Begin: and End:
The terminals will be shipped from: and arrive at:
Name: Name:
Address: Address:
City/State/Zip City/State/Zip
Comment:
Submit by:  
Washington State Gambling Commission