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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE $10.00 <br /> Mashpee <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 Community School <br /> ------------------------------------------------------------------------------------------------------------ I <br /> Located a-t--- 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 /> ❑ (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) Michael Coronella c/o Community School Old Barnstable Road, Mashpee, MA 02649 <br /> ---------- - •- ------ --• • - . . •. . .-• . ............. <br /> (2) Kay Perry P.O . Box 714W, Waguoit, MA 02536 <br /> --•-•--- ------------- -------- ------------•--- ---------•-•---•-------•---•--•-----•-----•---•-•--_..._......---••---...--•-•-_.. <br /> (3) --.-_Robert Fernald_-_--•__-185 Gleneagle Driver Mashpee, MA 02649 <br /> ................................ ---•---------•------•----------------- <br /> Uses to which net proceeds will be applied: ..........Program continuation and enhancement <br /> ----------------------------------------------------------------------------------------------------------------------- ----------------- <br /> --------------------------------------------------------------------------------------------...............................---••-•-•-----•-•--- <br /> Iell, Q <br /> ......................W"..i�.- ... . ... ..... ... ..............-.......... .......... <br /> Application certified to be in ai nature of authorized officer or member of organization) <br /> eonformi-ty with C. 810, Acts <br /> of 1969 <br /> -.... <br /> City/Town Clerk <br /> i <br /> PERMIT (ISSUED) (SWT-ED) <br /> Thea applicant is <br /> pp • (� ) (-is-ite ) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City/Town Clerk <br /> ........................� Chief of olice <br /> FORM 810 HOBBS & WARREN, INC. <br />