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l <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> MAS HP E E $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 MASHPEE LIBRARY <br /> ----- - --------- <br /> P . 0 . Box 900 - Mashpee , Ma. 02649 <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) j <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 /> -�j (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 FORDHAM, Preside---t_---__MoL�Q_mo_s.c.Qy_.R.aarl.,----REQ---1---Bo-x---5-54-..leas-h-pee <br /> MYRTLE DAKIN ' , Secretary , Otis Trailer Village , Mash <br /> e(2) ------ --------------------- ------ -------------------------------------- -------------------------------------------- - - <br /> (3) ----ANNA_ E.....-TANNEYHZLL -- T-r��s-ur-er--,----41-d----Har-n-s-t�rq-e----R-o-a-}------Mast <br /> g e e-------- <br /> ! <br /> Uses to which net proceeds will be applied: ----------—-------------- -------------------------------------- <br /> Assistance to the Mashpee Public Library <br /> -------------------------------------------------------------- -------------------------------- <br /> ----------------------------------------------------------------------------------------------------- --------------------------•------- <br /> si nature of authorized officer or mem r of organization) <br /> Application certified to be in Treasurer <br /> conformity with C. 810, Acts <br /> of 1969: <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DENIED) <br /> ...--------G------ <br /> (date) �_--.._ The applicant (is) ,(is-met) qualified to operate raffles and <br /> bazaars under the provisions of C. 810, Acts of 1969: <br /> ----------------- <br /> —�� <br /> City/Town Clerk <br /> - - -- ------ -- ................. <br /> Chic o Pol' e <br /> FORM 810 HOBBS & WARREN, INC. <br />