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i <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> FEE O <br /> AQd'-1 .. �...... <br /> (city or wn) <br /> APPLICATION FOR PERMIT TO CONDUCT RAFFLES AND BAZAARS <br /> n (C 810, ACTS OF 1969) Vj <br /> _-- <br /> Name and address of Nonprofit Organization: - , <br /> == <br /> ----------------- ....................................................d � _ :._.....------------ <br /> Evidence of Qualification for Permit <br /> ❑ (a) Veterans'organization chartered by the Congress of the United States or included m elapse (12) <br /> of section five of chapter forty of the General Laws.; or, <br /> 1 <br /> ❑ (b) -Church or religious organization;or, r. -4 <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: <br /> ... . <br /> .., ..Name Residence Address <br /> Y/tk�j&� i/f��trY-3ecm�:{a83tkutk .:e S 7alt=j6 -:'m*a-.f W_di�}3l-`1�9 si.i3�1 R �to <br /> rt LGV/V (Z <br /> 411a Yyr, r <br /> -- <br /> o^IL <br /> ---- -•-_------ <br /> Uses to which net proceeds will be applied: _ ___....._. __. <br /> - -- - •••------- ------ •-•---. ---------------- <br /> ...... .--_...• - ---- --- - ....................................... __ <br /> - --- --------------- <br /> sign e o authorized officer or em er of organizah <br /> _ i <br /> Application certified to be in ). <br /> conformity with C. 810, Acts <br /> of 1969 <br /> City/Town Clerk <br /> PERMIT (ISSUED) (DENIED) ; <br /> .__._.__._. The applicant (is) (4e-aet-) qualified to operate••-��-�1.�_.�_�.1._ _ to iaifies and <br /> (date) bazaars under the provisions of C. 810, Acts of 1969: <br /> City/Town erk <br /> • •-••••• • •-••- - -• _... ......................... <br /> Chi of olice <br /> CC TIS . FRYE <br /> %`MEF OF POLICE <br /> MASHPEE <br /> FORM e10 HOBBS&WARREN, INC. <br /> �a�( <br />