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9 , <br /> THE COMMONWEALTH OF MASSACHUSETTS off<--.;-I <br /> FEE gip- 0-0 64,>> <br /> Tousn o1 l4, ee-• l y <br /> (c> 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 /> n�a s ee f2i.encl.� o f a.Gn to �o� i <br /> ---------------------- ---------------------- � .`- .--------•------------------------.......------------......... <br /> ----- . •0o--- '0x--135------.... {'e 026 i <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 /> j <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 /> I <br /> --------------------------------Ar1Zt1RA..4=P.---...-----------. jo—*49•----------•------ <br /> (2) -- `---------- ------ <br /> -SEc�r�e l,lrzce._.... �e... g. <br /> �eve� L. Be-me 8 f3iwom.��ich-.W- _ I'la.� <br /> 11 - <br /> (3) ---- ---------------------------------------------- - -� 0264 <br /> Uses to which net proceeds will be applied- --------------------------------------------------------------------------•--------------------------------------- <br /> ----------------------------------------------------------------------------------------------------------------------•---------------------------------------------------------•... <br /> (signature o author' Meer r member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> s <br /> of 1969 <br /> City/Town Clerk <br /> II <br /> PERMIT (ISSUED) <br /> � 1 <br /> ... Cit... . .............. ._.. __.______ The applicant (is) (as-ae ) qualified to operate raffles and <br /> (d ) bazaars under the provisions of C. 810, Acts of 1969: <br /> 4 y/'wn C <br /> y/TowClerk G <br /> Chief of Polie <br /> CURTIS W. FRYE <br /> CHIEF OF POLICE <br /> MASHPEE <br /> FORM 810 HOBBS & WARREN, INC. <br />