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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> Mashpee Massachusetts $10.00 <br /> . . . . . -----•--•-------------•-------------....---•-------•-----------............----- <br /> K' (city or town) <br /> s <br /> t is <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name and address of Nonprofit Organization <br /> Friends. of Mashpee Chapter A.A.R.P. # 2916 <br /> ----- <br /> Centrad Rd Mashpee Mass: 02649 j <br /> -------------------------------------------------------------------------------------------------------------------------------------•-------------...---......------...._. <br /> Evidence of Qualification for Permit: <br /> I <br /> f ❑ (a) Veterans'organization chartered by the Congress of the United States or included in clause (12) <br /> of section five of chapter forty of the General Laws; or, <br /> ❑ (b) Church or religious organization; or, <br /> ❑ (c) Fraternal or fraternal benefit society; or, <br /> ❑ (d) Educational or charitable organization; or, <br /> ❑ (e) Civic or service club or organization; or, <br /> ® (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br /> nonprofit purposes, no part of the net earnings of which inures to the benefit of any member or <br /> shareholder. <br /> i <br /> Officers or members of organization responsible for operation of rate or bazaar: <br /> Name Residence Address <br /> n <br /> - - - -- - ---- - - -------- <br /> -------- <br /> - <br /> (2) F ----- ------------------------ <br /> r <br /> Uses to which net proceeds will be plied: ------------------------------------------------------------------------------------------------------------------ <br />� ' Supplement the Mas pee A.A.R.P . , Chapter # 2916 annual budget expence <br /> ------------ --- --- -- --- - ...--- ----- -- <br /> I <br /> f------- -------------------------------------------------------------- <br /> f I' <br /> Z - <br /> .------------------------------ <br /> (signature of authorized officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts I <br />;s of 1969: <br /> _ �. <br /> City/Town Clerk <br /> PERMIT (ISSUED) (#ENtB ) <br /> r ------. :----•-•-- The applicant (is) (ie-&aqualified tooperate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969 <br /> P `�_"�--GX`-------clam <br /> - --- <br /> City/Toww n----Clerk- ----------------- <br /> ............ 11 ....... <br /> i <br />