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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MASHPEE <br /> ......................................................................................................•------- <br /> (city or town) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name and address of Nonprofit Organization: <br /> -------------------------Mas-hpe.e---Bapt.i at...Ch.ur_e.h <br /> Great Neck Rd. , No. , Mashpee, MA 02649 <br /> ' 1 <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 /> t <br /> [7� (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 /> LJ (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 /> Officers or members of organization responsible for operation of raffle or bazaar: <br /> Name Residence Address <br /> ^c �c7 <br /> �_.._ .:. �' ice, �" 0zb j <br /> y <br /> ------------------------ <br /> - o y <br /> Uses to which net proceeds will be applied: T4__.cont-i.nue...the__process- ng-.-the_youuth- <br /> of Mashpee_.-i n.. d_eve(op-i ng_--the i- ----- 1 ves_- t hrQugh_-r_�ngya_t i qn---and-_-t-h e- .bu-i 1-d-).n.g-_of a <br /> multi..purpose Yout!-�---Dewel-opment____Gen-ter,____-T9 be .orga .i-ze_d..s_p_i.ri.tua.Ll_y. and.-_reereatior,al l � <br /> - <br /> (signature of authorized officer or member of organization) J <br /> Application certified to be in <br /> conformity with C. 810. Acts <br /> of 1969: <br /> 4- City/Town Clerk <br /> i <br /> PERMIT (ISSUED) ( �) <br /> aq ,rte Ah <br /> -. - The applicant (is) (is-met) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> Cite/Town Clerk <br /> Chief 6f P lice <br /> CURT IS W. <br /> FRYE <br /> C:'11,"^.{.; CFF P01-1CF <br /> ;i FORM 810 Hoass a WARREN. )'P�!'LSHPEF- <br />