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• <br />• <br />J`\ <br />THE COMMONWEALTH OF MASSACHUSETTS <br />FEE <br />---------------- ----- ----------- {' 45ktfl�r✓.. --- ..---- ---...----------------- <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 />---- The ... Parish --- of ... Chris.t--- th e ---King------------------------------------------ -------------------------------------- <br />---g O- Rex .... 1 -&GG-... ------- - r--MA--------G2-6-4-9.....---------....----------------------........---- <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 />�j (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 />Name <br />Residence Address <br />(1) -----ev..._ Ronald._A---- Tost-i---------------------------P'.0.._Box..1800......._Mashpee.<.._MA 02649 <br />(2) .... Sheila..A----Thomas-------------------------------- ---------------- E3 .... Millie .... d ......... Os-tervi.11e.,...MA... 02655 <br />(3) ---- Edith -Hurley ---------------------------------------- --------P-•-n----Bax---1-4-73---------Co-tuft-,---i4A---...---G2.6.35 <br />Uses to which net proceeds will be applied: ....... .Educatianal_.end-ofluoss ... and!..-impr- c>uement <br />--------- ----------- o f ... ch -u r -ch ---pr eapes--ties-------------------------------------------------------------------------------- - _. <br />Application certified to be in <br />conformity with C. 810, Acts <br />of 1969. � ) <br />------------------ ------- <br />City/Town Clerk <br />PER ISSUED DENIED) <br />------------------. - ----- <br />(date) <br />City/Town Clerk <br />FORM 810 HOBBS & WARREN. INC. <br />,. (signature of authorized officeF or member of organization) <br />The applicant (is) -tis aet) qualified to operate rates and <br />bazaars under the provisions of C. 810, Acts of 1969: <br />-�----- eP---o--- -- P-oli-- --------------------- <br />ce <br />