Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> Mashpee $10.00 <br /> -------------------------------------------------------------------------------------------------------------- <br /> (city or town) <br /> i <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> (C. 810, ACTS OF 1969) <br /> Name and address of Nonprofit Organization <br /> The Carney Hospital ; <br /> ------ <br /> 2100 Dorchester Avenue, Boston, Massachusetts 02124 <br /> ------------------------------------- - -- - - ---. ... ..................................................... 4 <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 /> ❑ (e)- Civic or service club or organization; or, <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 raffle or bazaar: <br /> Name Residence Address <br /> John W. Logue — 8 Skyview Road, Randolph, MA 02368 <br /> (1) --- ---------------------------------------------------------------------------------------------------•--------------------------------------------------------------------------- <br /> (2) ---Paul A,__Vielkind ----14-_Bay_berry_ Lane-,- RandolDh-, MA._._02368 <br /> --- <br /> (3) Thomas J. Devane — 144 Main Street Waltham - MA 02154 <br /> --------------------------------------------------------------- -----'--------------------.z <br /> Uses to which net proceeds will be applied: -_-_Proceedsto help purchase new equipment at the <br /> _ <br /> ----------------------- <br /> Carnev Hospital, a 416_-bed health care facility-__spons_ored by _the Daughters of <br /> Charity of St. Vincent de Paul <br /> G!/ i <br /> President <br /> --------------------- ------------------------------------------------- <br /> (signa of authorized o e or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969: <br /> Ovr,L-&I--_N-1110-11-411tk----- <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DVO"D) <br /> ............................. The applicant (is) (eek) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> ' ------------ <br /> z City/Town Clerk J <br /> ��x2 GCI <br /> Y .. ..................... ........... ............................ <br /> "> Chie ice <br /> FORM 810 HOBBS 81 WARREN, INC. <br /> _ i <br />