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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE I'D . o -D <br /> ----- <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 /> ► l .----------------------•---....---- <br /> ---- <br /> t�h...11- - -fir- -- C� A.f ----- <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 /> ❑ (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) 1------------•------ <br /> (2) ---- C.... --------------------•-• - f - 1r:.�� ....................... <br /> (3) <br /> Uses to which net proceeds will be applied: ........ _--_-- alt M— ..... -----5all. --•--------•-----------------• <br /> •----•------------------------------------------------------....---•---•-------•-------------------------•-------•--------------------------•--------------•••------••-•---•--•-----•-•-- <br /> --••••-••--.--- --....................................... <br /> Application certified to be in <br /> (signature of auth ized officer or tuber of organization) <br /> conformity with C. 810, Ac s <br /> of 1969 <br /> City/Town Clerk <br /> PERMIT (ISSUED) (4��D) <br /> --------------------- The applicant (is) (4a aet) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City/Town Clerk <br /> •--- ......... <br /> Chief of olive <br /> CURTIS W!• FRYE <br /> CHIEF OF POLICE <br /> FORM elo HOBBS & WARREN, INC. MASHPEE <br />