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rM ala ..'v u�:; • nniil::: :;iC. <br /> P.' Lr <br /> r' (city or town) <br /> ANNUAL REPORT - RAFFLES & BAZAARS Sep4 . 19 <br /> (C. 810, Acts of 1969) (date) <br /> :Name and address of Nonprofit Organization: <br /> Md,jl pee fAienc{.d v4 Fa,1jwuth <br /> Expiration Date of Permit 'ell" <br /> Number of Raffles and Bazaars Held: <br /> Amount of Money Received: $ 1332 W <br /> Expenses Connected with Raffles Conducted: $ <br /> 136.40 <br /> Net Proceeds: $ 1195.40 <br /> I <br /> For What Purposes Were The Proceeds Used? <br /> / <br /> II <br /> / 1/ <br /> !) 171/)I•nni1P �n0 Oni»rmo»�/f �n� 6 w`�z�e ' <br /> i <br /> 'i <br /> Names addresses of Winners of X25. 00 or _-More: <br /> i <br /> Attach :additional Pages as 'Necessary) <br /> We, `he =_cersigned, do hereby certify that -his report is true and complete. <br /> 2. <br /> (-Accountant) <br /> ountant) <br /> 3 <br /> Repert Certified to be <br /> in Conformity With <br /> 810, A <br /> c_s of 1969: <br /> n Signature of Authorized Officer <br /> ax �A or ;Member of Organization <br /> City/Town Clerk <br /> RENEWAL PERMIT WILL NOT BE ISSUED TO LICENSEE UNTIL THIS REPORT <br /> HAS BEEN COMPLETED AND FILED WITH THE COMMISSIONER OF PUBLIC SAFETY. <br /> '=rmit itder, ,o main? !3e3no '.icenses. rust ?ubmit i ?car-if 'his 9eoort'o the Massachusetts State lottery CornmissioC Revised January!974 <br />