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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE $20 <br /> Mashpee <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 /> ---C-ape...Cod...4=H...Caftp..Corp.4raFarley Outdoor Ed. Center) <br /> P.O. Box 97 Rte. 130 <br /> - <br /> Mashpee 1KasYipee <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 /> newal <br /> ❑ (b) Church or religious organization; or, <br /> ❑ (c) Fraternal or fraternal benefit society; or, <br /> 14 (d) Educational or charitable organization; or, <br /> ❑ (e) Civic or service club or organization; or, <br /> ❑ (f) Club or organization organized and operated exclusively for pleasure, recreation and other <br /> a 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 /> (,)Aurelio Almeida PO.Box 6, Attleboro, MA 02703 President <br /> . •------------------------------------------------------------------------------------------------------------------•-------------------------------------•------------ <br /> OAndre Duprey Fraser Court, Barnstable, MA 02630 V. Pres. <br /> 2 ------------•-------------- -------------- -•------•---------------------- <br /> (3)W.a.xrela...k'r-e-ej an......Lak-egide-.Vailer... <br /> Park.c--_Mashpee <br /> Uses to which net proceeds will be applied: -•-----•-----------------------------------------------------------•-----•------------------•-----••---------•--- <br /> Educati-©-n-a1----ac i-ui-t-i es-,----pr-ogram&---a-n-d---Supp.oxt.ing---f_unctions...o-f---such.------ <br /> activities and programs conducted at the Center in Mashpee. j <br /> L .. <br /> (signature of authori................................................zed officer or member of organization) j <br /> Application certified to be in j <br /> conformity with C. 810, Acts <br /> of 1969 <br /> �t- ---------------------- <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DENIED) <br /> The applicant (is) met) qualified to operate raffles and <br /> (late) bazaars under the provisions of C. 810, Acts of 1969: <br /> --- <br /> i Cit /Town Clerk <br /> 4 .. . ... ... ... ..................................... <br /> C of of Police <br /> CUR ns w. rAYE <br /> CHIEF OF POLICE <br /> FORM 810 HOBBS & WARREN, INC. <br />