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��02I <br /> (,city or town) <br /> ANNUAL REPORT - RAFFLES & BAZAARS <br /> (C. 810, Acts of 1969) (bate) <br /> Name and address of Nonprofit Organization: <br /> Expiration Date of Permit- \CkoI <br /> Number of Raffles and Bazaars Held: 0 <br /> Amount of Money Received; $ <br /> Expenses Connected with Raffles Conducted: $ <br /> Net Proceeds: $ <br /> For What Purposes Were The Proceeds Used? <br /> Names & Addresses of Winners of $25. 00 or More: f <br /> �1ra <br /> (Attach Additional Pages as Necessary) <br /> We, the undersigned, do hereby certify that this report is true and complete. <br /> 2. <br /> (Accountant) !' <br /> 3. �L; ��"`� ' <br /> Report Certified to be <br /> in Conformity With <br /> C. 810, Acts of 1969: <br /> J Signature of Authorized Officer <br /> cr,r.�c i.fl or Member of Organization <br /> City/Town Clerk <br /> R.FV7 t;' AT p� R,,7T'( WTT T. NOT RF T(z(;T'F.T) TO T.TC'F.rTq F. TTNTTT. THIS RFPnRT <br />