Laserfiche WebLink
THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE C) D D <br /> .............. _e............................................................ <br /> ............ <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 /> ............................................................................................ <br /> !P e,, <br /> ---fts G =-------------------------------- -----------•-----.....--------------------.......----•-------.......... <br /> Evidence of Qualification for Permit: <br /> E] (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 /> E] (b) Church or religious organization; or, <br /> ❑ (c) Fraternal or fraternal benefit society; or, <br /> E] (d) Educational or charitable organization; or, <br /> ❑ (e) Civic or service club or organization; or, <br /> F-1 (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 /> 'S-------------------------------------------- .......... .............. ---------- <br /> (2) —------------------ -------------------------- <br /> ............... -------- <br /> ......................................................................... <br /> (3) ---------------------- ......................................................... . ---------------------------- <br /> Uses to which net proceeds will be applied: ...............................................................................7-0. <br /> .........................I-------------- ............ <br /> ......4Z7.....7zo --------------------------- ------ <br /> -----------------............................................................................................................................................................................ <br /> .................. ........ ------------------------------------- <br /> (sigin ure of autho i ed officer or member of organization) <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969 <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DENIED) <br /> ------ The applicant (is) (is-nzt) qualified to operate raffles and <br /> bazaars under the provisions of C. 810, Acts of 1969: <br /> -%i4VA;, o-w-- -----C 1 e--r-k------------------- <br /> ...... ....................... ... ............................ <br /> Chief ice <br /> CURTIS W. FRYE <br /> CHIEF OF POU%CE <br /> MASHPEE <br /> FORM 810 HOBE3S & WARREN, INC. <br />