Laserfiche WebLink
i - <br /> THE COMMONWEALTH OF MASSACHUSETTS j <br /> FEE <br /> _ $10.00 <br /> ------------- '�/�-�- y��Z ------------------------------- ---------- <br /> (city for 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/CA11,S a71f---� --- <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 /> ❑ (c) Fraternal or fraternal benefit society; or, <br /> i <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: j <br /> I <br /> Name Residence Address <br /> h <br /> (2) _.. f-- ----- =s- ----- - -------- ------ <br /> _ � ��/_ ' <br /> (3) !�l _ --------- ------------------ <br /> Uses to which net proceeds will be applied: -__-_1__r/%'�r(_____ r <br /> -• -------�+� F ,p J� ...... ----- - <br /> ----------------------------------------------------------------------------- <br /> (signature of authorized oor member of organition) <br /> Application certified to be in (f�j <br /> conformity with C. 810, Acts <br /> of 1969: <br /> = ---------- <br /> City/Town Clerk <br /> PERMIT (ISSUED) ("n�NEF4)-) <br /> i <br /> ---- ----- 3-�-�•_� _ _____________ The applicant (is) (i&4w4 qualified to operate raffles and <br /> (dame) bazaars under the-provisions of C. 810, Acts of 1969: <br /> City/Town Clerk <br /> ------------- ... <br /> ---A----------•---• --- ------•-------- <br /> Chi f- ol- <br /> FORM 810 HOBas & WARREN, INC. <br />