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fJRM dl2 10935 L WARREN INC. - — - -- --- - _.. .. _ <br /> 9-15-197J <br /> (city or town) - <br /> ANNUAL REPORT - RAFFLES & BAZAARS <br /> (C. 810, Acts of 1969) (date) <br /> Name and address of Nonprofit Organization: <br /> Expiration Date of Permit: <br /> Number of Raffles and Bazaars Held: <br /> Amount of Money Received: $ o;a�cj.04 <br /> Expenses Connected with Raffles Conducted: $ G.11 <br /> Net Proceeds: $ <br /> For What Purposes Were The Proceeds Used? <br /> �A do <br /> Names & Addresses of Winners of $25. 00 or More: <br /> (Attach Additional Pages as Necessary) <br /> We, the undersigned, do hereby certify that this report is true and complete. <br /> 1, <br /> 2. <br /> (Accountant) <br /> 3. <br /> Report Certified to be <br /> In Conformity With <br /> C, 810, Acts of 1969: <br /> Signature of Authorized Officer <br /> or Member of Organization <br /> City/'Town Clerk <br /> RF�;rtr � r PF'na*'T VETT T "TnT P- TQSTTFT) TO T.Tf-FNgFF T-TNTTT. THIS REPORT <br />