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FORM 812 NOBBS L WARREti INC. ! <br /> Mash ee <br /> (city or town) <br /> ANNUAL REPORT - RAFFLES & BAZAARS �- <br /> (C. 810, Acts of 1969) (date) <br /> Name and address of Nonprofit Organization; <br /> MaahnAa rnmmnnity sahnrbl Old Rarnatahle Road Mashpee MA 02649 <br /> Expiration Date of Permit; <br /> Number of Raffles and Bazaars Held: <br /> Amount of Money Received: $ 5'17 5'y. <br /> Expenses Connected with Raffles Conducted: $ Tb� <br /> Net Proceeds; $ —1,5 <br /> For What Purposes Were The Proceeds Used? <br /> \\ , <br /> Names & Addresses of Winners of $25. 00 or More: <br /> V COO, <br /> (Attach Additional Pages as Necessary) <br /> We, the undersigned, do hereby certify that this report is true and complete. <br /> �LG <br /> Accountant) <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 /> CitylT - Clerk <br /> RENEWAL PERMIT WILL NOT BE ISSUED TO LICENSEE UNTIL THIS REPORT <br />