SUE CORPORATION OF THE CITY OF PORT COQUITLAM.

The. Officers. or Representatives of the Littulecc Hom ES

SaeTBAw TE ; » Port Coquitlam, B.C. hereby apply for a

Lottery Licence pursuant to Section 6.18 of B.C. Reg. 265/78.

Total number of tickets to be printed ‘S00

- ¢ . if eo A. ay
Selling price of ticket e307 ¢ walue of prize to be awarded Tt. 7 (3-
. - (Must not be greater than $200.00)

Area in which tickets will be sold oem Cou lth ANS SSHECRAII ILO ES

‘Period during which tickets will be sold — From: Ae AL To: itl - (2-E{

Place and date of event or draw for winner or winners —_ Men's SOF TEA CK

Ea ttre Meteo Caieic See jo -

Set out names of games to be operated

Estimated disposition of proceeds: Expenses $

§

Dated at ben illle.. » British Columbia, this

day of ane ; » A.D. 19 4) .

é

. ; . . Sg) .
: f . v LAM {
appress: 0695  S7 PHbnrAS. Poco. . Siniiy Officer) mas
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TELEPHONE: G | "a - 7 tb G . 14, 4
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RECOMMENDED: | 7 FIR vol 2 __f TF

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. po R.C.M. Polite, = 304
Date: a is l = 1O Coquitlam Detachment.

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This is ‘to certify thar

are hereby licenced to conduct a Lottery for the

purposes and in accordance with their application dated

Date:

City Clerk
City of Port Coquitlam