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NUMBER FEE <br />THE COMMONWEALTH OF MASSACHUSETTS <br />8-9 80.00 <br />TOWNMASHPEE <br />-----------of ------ ------`---------------- <br />----'--------------....-- <br />ALS Family Charitable Foundation, Inc. <br />This is to Certify that <br />NAME OF NON-PROFIT ORGANIZATION <br />121 Main Street, Buzzards Bay, MA 02532 <br />.... .. ---- --- -------------------------------------------------------------------------- ------------------------------------------------------------- <br />ADDRESS <br />IS HEREBY GRANTED A PERMIT TO CONDUCT RAFFLES OR BAZAARS <br />(Chap. 810-1969) <br />Research for Lou Gehrig's disease and <br />------- ---------------------- --------------------------------- ....................... ----------------------- ------------------------- <br />SPECIFY AND GIVE ACCURATE DESCRIPTION <br />-- ------- ----- ----- -- - --- --------- - ---... Patient Sewice-Programs------------------------- -------- --------- ------------ <br />------------ -- ............... - --...._........ ----------------------------- ------------- ---------- ----- - <br />---....... -- - ----------------- ........--------------...----------------------------------------------- ------- ----- --- <br />This permit is granted in conformity with the Statutes and ordinances relating thereto, and <br />p• November 12, 2009.unless sooner ,sl ded or revoked. <br />expires ------------------ - <br />November 13, 2008e or F. D <br />----------- ---- ---- - ... 19------- .................... <br />.. <br />Cl <br />a p e To erk <br />-............... <br />. -- . — ------------------------------ ------ <br />FORM 811 HOBBS & WARREN, INC <br />