COUN

10 1977
THE CORPORATION OF THE CITY OF PORT HON ADS

The Officers or Representatives of th ( A&nAdAM CALENIE Cmuen TK

/ Fo (x KC rf cad } » Port Coquitlam, B.C. hereby apply for a

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

Total number of tickets to be printed 27,0 uf

wh .
Selling price of ticket {ee : value of prize to be awarded _& e¢
(Must not be greater.than $100.00)

Area in which tickets will be sold Pe ROT Cecurnl KAKI

Period during which tickets will be sold - From: FLAN. is/ 77 To: FEB 17 S27

Place and date of event or draw for winner or winners WEST thee iS HAW
B37 f/ 277

Set out names of games to be operated Vik

Estimated disposition of proceeds: Expenses § AJ {te
$

Dated at PaeRT Pow TiR & » British Columbia, this
day of JFANUN fy » AD. 19 77.
/

(85S

Aire Crresces { Dy. ae Lec Koen.
Gel- SERB (Signing Officer)
7

RECOMMENDED: GEE Le Me ZEA

K€ 21.“ Police
;
VW Jan 77 w Aoquitlam Detachment.

Ghose. USI) S/SST Rep

Date:

This is to certify that

are hereby licenced to conduct a Lottery for the

purposes and in uccordance with their application dated

Date:

City Clerk
City of Porte Coquitiam