THE CORPORATION OF THE CITY OF Portr COQUITLAM

’

The Officers or x Representatives of the A ghyadllta Crt rteg Girton

Branch” 194 (Bnei » 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 /, IO

- ak
Selling price of ticket Soh. 3 fer p= #0 value of prize to be awarded S78
(Hust not be greater than $200.00)

_Area in which tickets will be so1a (Lt Cog ; BC.
Period during which tickets will be sold - From: LL LEO To: Choa 1 4/30
— a) : .
Place and date of event or draw for winner or winners Can bas poate
Moat Tatas boat Cog — Itt /pheo.

Set out names of games to be operated ©

ISU Fovd. [Warrfttt
Estimated disposition of proceeds: Expenses *, fee 2) TEC MJ PER oD, wan

: USED
fA wh “be oF ~ ; 8
aly Gye nT 190)

Dated at COOUITLAM » British Columbia, this 80/09/23

day of » A.D. 19
i

ADDRESS: ,

Fe Officer)

TELEPHONE: D2,2G97 G ~—

RECOMMENDED

Date: 80/09/23

This is to certify that

are hereby licenced to conduct a Lottery for the

purposes and in accordance with their application dated

.

Date:

City Clerk
City of Port Coquitlam