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7171 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MASHPEE <br /> (city or town) <br /> APPLICATION FOR PERMIT'TO`CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) .r _ .•.,: ..., <br /> Name and address of Nonprofit Organization:- <br /> .......................... <br /> rganization: , <br /> MashRe_: apt.it:__Chur_�h. <br /> --------- ---- <br /> _Great Neck Rd. , No. , Mashpee, MA 02649 �•- <br /> Evidence of Qualification for Permit <br /> ❑ (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 /> II (b) Church or religious organization; <br /> iz ation,or­-_- _._ . ._ � <br /> , <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 /> '9S <br /> .. ...•' :: :,. •-.':. ;:J r::-.,.'..j_ - � - .. it <br /> Officers or members of organization responsible for operation of raffle or bazaar: <br /> lJ. _'Y{'•JtYa,: +a2_ .1 �'mP' ,}•Y L ..<, ._ :Residence•Address_ tiJ I <br /> -t,a-_', ` s ti -a-fr tt. 1'-a.'7a <br /> O ---- 77 <br /> g - ,,, ys <br /> 1 ._..__. , . . a - ,rt _ z <br /> (2) -----------a, <br /> �-•-- <br /> Uses to which net proceeds will be applied: To..cont•i:nue- the--process-.Qf__.ess i st i ng-_the•youuth <br /> .of_Mashpee in _develop•ing.the r_ hes- -__--_v_ -_-_-_- <br /> -...t gel.�� -O Qugh__xenoya_t_io[l...an-0_-t_he_-bu i-1 d i-n-g.-of a <br /> multi- ur ose You - - _. , _. r.,, <br /> ......__..---.P_....P ______________Youth l o ment_-Gent -: ----.Io:_b __oc _ized..S.R_i_r tua_11_y_ �n�..r.Q r_Qat i ona l l y. <br /> -- ........ j .. <br /> (signature of antho office or member of organisation) <br /> Application certified to be in u <br /> conformity with C. 810, Acts _ <br /> of 1969 n <br /> • <br /> own Clerk <br /> Clerk i <br /> PERMIT (ISSUED) (DAB) <br /> a°I •A -J_s-........... The applicant (is) (4s-net) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> � +1 - <br /> ;:: <br /> ...... ..... - ..__. _.......... <br /> Cbie ! P lice - . <br /> CURTIS W. FRYE <br /> CHIEF OF POLICE <br /> FORM 810 Hoess $WARREN, INC. MASHPEE <br />