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FORM 812 HOBBS 6 WARREN INC. 9-15-1970 <br /> 44 <br /> -_— e (,city or own) <br /> ANNUAL REPORT RAFFLES & BAZAARS JQEy a0 19'6 <br /> (C. 810, Acts of 1969) (date) <br /> Name and address of Nonprofit Organization: <br /> G <br /> i <br /> Expiration Date of Permit: _ <br /> i <br /> Number of Raffles and Bazaars Held: <br /> Amount of Money Received: $ <br /> 6 Expenses Connected with Raffles Conducted: $ 3F7, eleG <br /> Net Proceeds: <br /> $ ?w <br /> For What Purposes Were The Proceeds Used? <br /> aures & Addresses of Winners of $25. 00 or More: <br /> GrZ,3-7 - <br /> r <br /> (Attach dditional P ges as Necessary) <br /> We, the undersigned, do hereby certify that this report is true and complete. <br /> 2 <br /> t <br /> Accountant) <br /> 3. <br /> Report Certified to be <br /> in Conformity With ; <br /> C. 810, Acts of 1969: <br /> Signature- of Authorized Officer <br /> t.G or Member of Organization <br /> City/Town Clerk <br /> I <br />