COU!

THE CORPORATION OF THE CITY OF PORT COQUITLAM MAR

1977

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The Officers or Representatives of the ete ie 0. Wee tL lieysa Ly
Va Woon.

» Port Coquitlam, B.C. hereby apply for z

Lottery Licence pursuant to Section 4.12.1 of B.C. Reg. 436/74.

Total number of tickets to be printed DOA: 3en

Selling price of ticket SY) i Cg _/, value of prize to be awarded Si-O I+: FOO€
(Must not be greater.than $100.00)

‘Area in which tickets will be sold f? at aa a i of Le bony
£7

Period during which tickets will’be sold - From: 7, to: f£,..;/ Sf
. f

. : f / A) /
Place and date of event or draw for winner or winners £ aa Li 77 fort

Qa tJtL FO : 2.1, MSG 29
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Set out names of games to be operated
‘Estimated disposition of proceeds: Expenses $ (§/y/ 7.3 FS fn Co: fr $e 3

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2 oa Far tic £es?s aa eae Ag AZ, OF
Food Or He /f a

Dated at : _, British Columbia, this PA Z 2 SE /777

day of > AD. 19

Name MED nie | ; cle, .

Avoress //2 37° — Z2OIST~ _ BN Ne S

,

Prrowe Ll, ake Lig e GC. "Signing Officer

TELE
—“ GER EC BORLE) S/Set RCMP

- : R.C.M. Police,
Date: 28 Feb 77 _ Coquitlam Detachment.

RECOMMENDED:

This is to certify that

are hereby licenced to conduct a Lottery for the

‘| ‘purposes and in accordance with their application dated

.. Date: . a : /
ae 1, City Clerk
rool os J. (City of Port Coquitlam

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