( U U I C
ZHE CORPORATION OF THE CITY OF Port too

JAN 17 1977

The Officers or Representatives of the Catia cheer Laborer Cece

Port Coquitlam, B.C. hereby apply for a

3S 30 Wee Cn | lot : ° ‘
Lottery Licencé pursuant to Section 4.12.1 of B.C. Reg. 436/74.

Total number of tickets to be printed Ao £0 (7) Ee”

# -
Selling price of ticket #) CO value of prize to be awarded YO.,00- $0,000
, (Must not be greater than $100.00)

Area in which tickets will be sold Lo s/f

Period during which tickets will be sold ~ From: -z L297 ro: LL G7

Place and date of event or draw for winner or winners £4 4 Cai @
Lach Coz. dhicerdlas, Leland 3590 Lildli 5 Tees a Lo Cog.

’ . . :
Set out names of games to be operated “Yn t ;
. 7

Estimated disposition of proceeds: Expenses $ I glean. ;
$

Dated at fou” fou s/n » British Columbia, this
Vi
&

day of 4-3 » AD. 1977.

4
7 Address ~ 2040 Chere.

“Phone _ GLA -O27?2/ MMB EEA AIL.
(Signing’ Officer)

RECOMMENDED:
11 Jan 77

Date:

ROMP

This fs 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