Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> $10.00 <br /> ---------------- ------------------ . <br /> (cit 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 /> ------------- --------------- ----- <br /> ---------- G. _..1 . . 't�1 _ _ E �_ s:._._ a ----------------------------------------------- <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 /> 'i <br /> ❑ (e) Civic or service club or organization; or, <br /> (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br /> 1 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 /> r <br /> (1) E�R.1lx �P `PrrS� ---- M ...(`naSSA---------------------- <br /> L (2) ... 0 RLS-6--- � ?� - ------------------- Y s�+- - 5 =---------------------------- <br /> Z) <br /> - ------------------------ <br /> ---------- - - - <br /> (3) �1J�l. AM W. MI�LIS --------- ---------- --------- --- -------------- <br /> CUses to which net proceeds will be applied: ----- <br /> � s --- ------------------------------------------------------------------------------------------- --------- --------------------- <br /> i --•--------------------------------------------------------- ------ ..................... <br /> authorized officer or member of organization) <br /> (signa <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> J' of 1969: I' <br /> ----------------------------------------------- <br /> City/Town Clerk <br /> I( <br /> PERMIT (ISSUED) <br /> —.6..... ----------- The applicant (is) (is.a4t) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> ee <br /> i Y <br /> FORM 810 HOBBS & WARREN, INC. <br />