Laserfiche WebLink
I <br /> 17 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> Mashpee $10.00 <br /> -------------------------------------------------- <br /> (city or town) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> ry=: <br /> (C. 810, ACTS OF 1969) <br /> o <br /> Name and address of Nonprofit Organization <br /> The Carney Hospital <br /> ------------------- <br /> 2100 Dorchester Avenue Boston Massachusetts 02124 <br /> ...........--------------------------------------------------------------------------------------------------------------------------------------------------------•------ <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 /> ❑ (e) 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 /> Edward P. Pyne – 14 Gordon Road, Needham, MA 02192 <br /> (3) .......Thomas J. Devane 144 Main Street Waltham MA 02154 <br /> Proceeds to enhance high techolo in the Carne <br /> Uses to which net proceeds will be applied: ---- ---------------------------------------------------g------------------------------------------------------ <br /> Hospital, <br /> ------------------------ - y <br /> Hospital, a 422–bed medical center sponsored by_ the Daughters of Charity <br /> ---------------------- --------------------------------- ------- -- --------------- <br /> i <br /> i <br /> ----------- <br /> ______________ a "'" — President <br /> (signature of autho ed officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969: <br /> �1 City/Town Clerk <br /> PERMIT (ISSUED) (DEX;ED) <br /> i2 _-;k4.+YC1%_6............... The applicant (is) ( �qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> aw�a r� <br /> - -- -- - --------------------------- <br /> City/Town Clerk <br /> Chi of <br /> FORM elo HOBBS & WARREN, INC. <br />