Laserfiche WebLink
i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> $10.00 <br /> -----------------------t zs <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 Or an. tion: <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 /> 1 <br /> Officers or members of organization responsible for operation of raffle or bazaar: <br /> Name Residence Address <br /> �� . � �',,/ <br /> (1) , ------ -------------- -- <br /> ----------- i'" (-� Vic` ----��'�---------- ....... .... . <br /> (2) -- - - 4 ----- �7��� _ 'i <br /> --------- ---------------------- <br /> _ <br /> O _ `I/ u �..�A� ?�, -- ----------- �`�" -- <br /> -------- ------ <br /> Uses to which net proceeds will be applied: ------------------------------------------------------------------------------------------------------------------ <br /> --------------------- <br /> -- i 0z --------------------- <br /> ------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- <br /> (signature of authorized officer or memr of organization) <br /> Application certified to be in <br /> conformity with C. 810, cts <br /> of 1969: 1 <br /> City/Town Clerk <br /> PERMIT (ISSUED)) <br /> m 6V--v� 4 )q 8 The applicant (is) (is not) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> - <br /> City/Town Clerk----------------- <br /> , <br /> olice <br /> i <br /> FORM 810 HOBBS & WARREN, INC. <br />