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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> X10.00 , <br /> ----Town--of TZash�ee..................•-------•--•-•--•----•---•-•---•-----••...._. <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 Organization: <br /> V.F.W. MashP - <br /> ee Memorial Post #5489 <br /> -------------------------------- ............ ------ -------------------------------------------•----•----- ----- ----•---------------- ----------- . <br /> ---------------------------------------------- -.................................... --P-.-O.---Box---1-62-* ..---Maah ee.}...14a.-.-02649 <br /> Evidence of Qualification for Permit: <br /> ([X (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 /> i <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 raffie or bazaar: <br /> j <br /> Name Residence Address <br /> i <br /> Charles R. Hicks-.-. Central Road,_, Ka-s kl ee-.___Na.._._026.4.9.................. <br /> (2) --------QUI!t_is----Fry-e-•-•---Autumn---.-Dr-iue..... Ma-shgaa,-.-Ma-.----Q2-6.49-t-.----Tr.ea-su-r-er <br /> William W. Mills. . . Central Road. . . Mashpee. Ma. 02649-._.--._-...-.. <br /> (3) ---- ------------------------•---------------------------------------- <br /> i;ses to which net proceeds will be applied: -------- - ---- - ------------•------•--------------------------- ------------------- ------------------- <br /> Charities. . . -------_.------Charities. . . <br /> --------------------------------------------------- ------------------------------------------- -- ............ -------- <br /> ------------------------------------------------------------------------------------------------------------- --------------------- <br /> (signature of authorized officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969 <br /> �4. ., = ----------- <br /> City/Town Clerk <br /> � I <br /> PERMIT (ISSUED) ( P) <br /> tv <br /> . - -,--- . .. The applicant (is) (is- e ) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> ity/Town Clerk <br /> Chief of Police <br /> I <br /> FORM 810 HOB©s & WARREN, INC. <br />