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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MM4 <br /> (city or town) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name a4d a4dress of Nonprofit Or anization:. <br /> ...... --:e-fi e b pry► At .- <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 /> P-"(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 /> Officers or members of organization responsible for operation of raffle or bazaar: <br /> Name Residence Address <br /> --------------- �! . p o'J(�X-/ <br /> ---h <br /> ,Id 06 76 . .. .. -- . -- � _ c�_a� 9 <br /> Uses to which net roceeds will be applied:: /,PC1� - <br /> P pp �A1.1. 1 , e ...qac---- a ac�r f-- - <br /> yy,, <br /> S SS. Q - 11 ..... !' S C r10d l-------------------------- <br /> ------ <br /> I -- - <br /> (aignature of <br /> Application certified to be in authorized officer or member of organization) <br /> conformity with C. 810, Acts <br /> of 1969- <br /> City/Town Clerk <br /> i <br /> PERMIT (ISSUED) (HENT-FD) <br /> I <br /> I CA <br /> -lam <br /> �_---.............. The applicant (is) (imnwt') qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City/Town Clerk <br /> . ------ <br /> Chi of lice <br /> CURTIS W FRYE <br /> CHIEF OF POLICE' <br /> FORb1 810 HOBBS & WARREN. INC. MASHPEE <br />