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f - <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> Lh FEE <br /> MASHPEE $10.00 <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 /> ----------FRIENDS---OF---THE---MAS-HP-EE---LIBRARYf Inc <br /> Great Neck Road, North P.O. Box 900 Mashpee, Ma. 02649 <br /> - - -------- --------------------------------------------------------------------------------....................................................... <br /> I <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 /> M (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 rate or bazaar: j <br /> Name Residence Address <br /> (1) ...MARY---C_.FQRDHAM,-_-_Pr-e-s-id�nt,_--�`�o�omo-scoff! Road.L.._RFD No. 1 Box 550 Mashpee j <br /> (2) ANNE FITZGERALD, Secretary Mariners Lane, RFD -No. <br /> o. 1 Box 556 Mashpee <br /> -------------------------------------------------- <br /> ------ <br /> (3) ANNA E. TANNEYHILL, Secretary, Old Barnstable Road, PO Box 775 Mashpee <br /> Uses to which net proceeds will be applied <br /> ---------Ass-istance--_in__-furnishin-g•_ the new- Mashpee Public LibrarX <br /> I. . <br /> ------------------------------------------------------------- -------- -------- -------- -------- <br /> . <br /> j <br /> (ai ture of authorized officer or member of organization) <br /> Application certified to be in - President <br /> conformity with C. 810, Acts <br /> of 1969: <br /> k 4— <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DENIED) <br /> r i � <br /> ------- fj �?J� = -- �_ The applicant (is) <br /> (i&tto4 qualified to operate raffles and <br /> (� (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City/Town Clerk <br /> - • K'- ..---------------- <br /> Chic of e <br /> k .S FORM 810 HOBBS & WARREN, INC, <br />