THE CORPORATION OF THE CITY OF PORT COQUITLAM

APPLICATION FOR LOTTERY LICENCE
Section 6.18 of B.C. Reg. 265/78 U \ C
APR 23 198

Organization Names {ot Coa ve lL Liem FiqureS kot 0g Att

Vom
Total number of etchant 5 te. ‘princed: 3Sace bie keks
aft ov “Oo
Selling price of ticker: =o% each. value of prize to be awarded 260.00
(must not be greater than. $200.00)

——
Period. during which tickets will be sold - Fromtt Pics ‘\a3lezr0: J ongt 23 ,

(Cannot’ exceed four months)

Place and date of event or draw for winner or winners:
31s” Beh Stree .

Place: Ale wo Woect mins te a C.. Date: Jone. i2/ LGPZ

Estimated disposition of proceeds:
Expenses: $ 50.0.0

Donated to Charity: $

Retained by Licence holder: $ Procee. rs SS
ee Qa > ath

‘ a (Signing officer)

. Prdat Name: Au: s Baidu Pal

Position:. Mon Am 2x
A i

serene ———T Ptah SEY

pate: 83/04/20 | "(G,A.. WEKKINSON) S/Sgt RCMP
; ' R.C.M. Police,
Coquitlam Detachment.

This is to certify that the above noted organization are hereby licenced to

conduct a Lottery for the purposes and in accordance with their application hereon.

Date:

City Clerk,
City of Port Coquitlam

"THIS LICENCE IS ONLY EFFECTIVE WITHIN THE CITY OF PORT COQUITLAM.
\

18

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