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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MASHPEE $10.00 ry <br /> ------------- ----------------- --S -----E----........................... <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 /> MASHPEE BUSINESS ASSOCIATION,__ INC, i <br /> --------------------------------------------- <br /> P.O. BOX 1245, MASHPEE, MA. 02649 <br /> --------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------ <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 /> ❑ (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 /> [R (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 /> (1) -------DONNA...BLE.THEN--------- ------------------------------------Pimlico...i?ond--R�.% �iasklge� <br /> (2) -------D-INNE...PET-''_EXG1.I4LMashpee <br /> ------------------------------------Deer Crossing Condos, <br /> ----------- -- --------- <br /> (3) <br /> --------- <br /> (3) -------LORRAINE...DEPONTE_______________________ -----------1---5-5---__John__ Parker__ Rd.---s__E_.___Falmout_h ' <br /> Uses to which net proceeds will be applied: ------------------------------------------------------------------------------------------------------------------ <br /> ----------------To--ralse_.money--_for-.oris---treasury--------------------------------------------- <br /> -------------------------------------------------------------------------- ------- ----------------------------------------------------------------------------------------------------------- <br /> --------------------------------------------------------------------- <br /> (signature of authorized officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969: <br /> City/Town Clerk <br /> i <br /> i <br /> PERMIT (ISSUED) (DENIED) <br /> _ The applicant (is) (is a qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> CTown Clerk <br /> Chief of Polic <br /> CURTIS W FRYE <br /> CHIEF ASHPEE ICE <br /> FORM 810 HOBSS & WARREN, INC. <br />