During the regular season visiting teams are paid a portion of the gate and I have seen such reconciliation forms when I worked in MLB. These reconsiliation forms would go to the visiting team's Traveling Secretary along with a check that was either cut right away or perhaps was mailed at a later date. However, those forms I saw never had a score sheet attached of the game. The only thing I can think of is that this might be the score sheet of the visiting team's Traveling Secretary for this particular game and this is his own personal recap with attendance and net gate profit.
Again, I do not know if this is what this is but it does make at least a small bit of sense.
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