The game begins with the following: a "keno runner" calls "keno" and offers to carry the wagers to the booth. The keno runner is handed the wager payment and the “inside ticket”. A keno wager form filled out by the customer is called the "inside ticket". After that he takes the wager and that ticket and carries them to the counter. The keno runner returns with an "outside" ticket, which is the official wager receipt. It is incumbent on the player to check the ticket for errors before the game balldraw is drawn. No corrections are accepted after the first ball is drawn.
When all the 20 numbers are known, the winning tickets are paid. The payouts differ in defferent casinos. For example, a four-spot ticket with wagered might return the if two numbers hit, bring if three numbers hit, and pay 0 if all four come in. But in another casino, the three-number hit might pay and all four 5, and in another the payoffs might be and 0. Because of the variation, no payback percentage is common enough to be called average. Paybacks range from below 70 percent to more than 80 percent.

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