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THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE <br /> ......................`�.....-s ............................................ <br /> _ ..(city or town) • <br /> APPLICATION FOR -PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> "(C. 8102 ACTS OF 1969) - <br /> n.V - <br /> Name and address of Nonprofit Organization: <br /> a. p� <br /> :�.Wuk <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 /> —r <br /> "RIO rte.:. — �— <br /> ❑ (c) Fraternal or fraternal benefit society; or, <br /> Ey"(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 /> , <br /> I <br /> Officers or members of organization responsible for operation of rade or bazaar <br /> :Name ,,za. A..._ Y. Residence Address i <br /> r�o,r,m 10.;{xS=-*t ac.9Wr Q�i+i&vpS.a isd-t4tttY�tj r'.-r,�t'x-osr;;,t7.,j � ,' Gi �F P.'f<J ;Y a z moi...= �1.k+;. - <br /> (1) 22 s-... rlT= ~/h L CCS <br /> LC&AILJc - Gamed ­ 'Jr1�9yr <br /> (3) .._.fi t cid-- ----- � .:.. ...:. .......�R SRtl .- --cr�xJ'ds--- - _(3L .... .. 'J�S <br /> Uses to which net proceeds will be applied --------- ...................................:_...._.._..._... .._.:._-- :____::__ <br /> Te ' <br /> d•--- of .l £_y... . __; N�£D.� __..P..e sd�-� - <br /> - Y <br /> .... ____ _ .. ...... .... <br /> igna nre of an ori zed o-M r or mem er of organization) i <br /> :. <br /> Application certified to be in <br /> conformity with C. 810, Acts <br /> of 1969: <br /> -+('t-tCity/Town Clerk <br /> PERMIT (ISSUED) (DENIED) <br /> --------- ------------ The applicant (is) (met) qualified to operate rates and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> J City/Town Clerk - <br /> Chief o P ice <br /> ,,�� ��• TT <br /> --------------------- <br /> CURTIS W. FRYE <br /> CHIEF OF POLICE <br /> MASHPEE <br /> FORM 810 H066S&WARREN, INC. <br />