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i <br /> FORM 812 ❑OBBS S WARREN INC. <br /> I <br /> - Mashpee <br /> ��°_ •,`• (city or town) <br /> I <br /> I <br /> ANNUAL REPORT - RAFFLES & BAZAARS January 29, 1991 <br /> (C. 810, Acts of 1969) (date) <br /> j c:a e Oon 4agr6a&mp 6A$r6igt 'liof'92Ri4a#Tarley Outdoor Education Center) <br /> P <br /> P.O. Box 97,' Forestdale,' MA 02644 (Mailing) <br /> Expiration Date of Permit: Feb.' S,' 1991 <br /> Number of Raffles and Bazaars Held: 12 <br /> Amount of Money Received: $ 79658.00 <br /> Expenses Connected with Raffles Conducted: $ 4379.83 <br /> Net Proceeds: $ 3,278.17 <br /> For What Purposes Were The Proceeds Used? <br /> Educational activities, programs and supporting functions of such activities <br /> and programs conducted at the Center in Mashpee. <br /> i <br /> Names & Addresses of Winners of $25. 00 or More: <br /> $lt250 - Andre Duprey, Fraser Ct., Barnstable, Ma 02630 <br /> $500 - B. Kelley (address unavailable) <br /> $250 - Jean Tower,Handy Street, Attleboro,' Ma 02703 <br /> (Attach Additional Pages as Necessary) <br /> We, the unders i hereby certify that this report is true and complete. <br /> i <br /> 1. <br /> -a-\ -- <br /> 2. <br /> (Accountant) <br /> 3. <br /> Report Certified to be <br /> in Conformity With - <br /> C. 810, Acts---gf`1969: <br /> Signature of Authorized Officer <br /> _ or Member of Organization <br /> City/Town Clerk <br /> RENEWAL PERMIT WILL NOT BE ISSUED TO LICENSEE UNTIL THIS REPORT <br /> HAS BEEN COMPLETED AND FILED WITH THE COMMISSIONER OF PUBLIC SAFETY. <br /> (Permit Holders also holding Beano Licenses,must submit a Copy of this Report to the Massachusetts State Lottery Commission.) Revised January 1974 <br />