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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MASHPEE, Ma. 02649 $10.00 <br /> ------------------------------- ------------------------------- --------------------------------------- <br /> (city or town) <br /> ry <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 _MASHPEE LIBRARY, Inc <br /> ------------------------------- <br /> P. 0. Box 900 Mashpee, Ma. 02649 <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 /> (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 /> Name Residence Address <br /> (1) ---------Mary---C.-_..Fardhaxi,_-_-Pr--esu.dent-----------Monomoscny---Road,---Mashp-ee.................. <br /> (2) ---------Martha---D.--W�-1k nahaw-r---Vce P-r-es-:---------Lakwa ---Drive,---Ma- - ------ed I <br /> ( )3 <br /> ----------P.nna---E:----T-anneykri-11--;----T-r-easy:------------Qld-._Barns-tab-l.e---Road-f---Ma&hpee------ ; <br /> Uses to which net proceeds will be applied: -------F-OP,--FURNI-SH NGS---AID-_-EQUT-P-M N-T-,_--------------------- <br /> MASHPEE PUBLIC LIBRARY <br /> --------------------------------------------------------------------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------ --------------------------------------------- ---------- <br /> ---- In'--- <br /> (signature of authorized offieer or m <br /> Application certified to be in ember o rganization)hreasurer <br /> conformity with C. 810, Acts <br /> of 1969 <br /> ovr.R <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DSD) <br /> Zit Thea applicant pp (is) (ate) qualified to operate raffles and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City//Town Clerk-...._. --------------- ' <br /> Clerk <br /> ---=----• ----------- --------- <br /> P ee <br /> FORM elo HOBBS $ WARREN, INC. <br />