THE CORPORATION OF THE CITY OF PORT coguifi ans

The Officers or Representatives of the RP, Lo Harey “Tames

Sib) Sqvugmerssy STREET , Port Coquitlam, 3.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 .

_ Selling price of ticket FO auch 3A. "OD value of prize to be awarded Prove ‘OR
, ‘(Must not be greater than $209. 00)

Area in which tickets will be sold tror COCoKAM

Period during which tickets will be sold ~— From: b 2616) “7. te: [2 Yo orm
. ° a 1

Place and date of event or draw for-‘winner or winners LAA S CA L/P

2552 SHAVEMINIESSY ST» JARI LAGisTKAL., lize.2 8/8)

Set out names of games to be operated fil A
. . a ” 1

__Estimated disposition of proceeds: Expensés §
VO WEAP Meet CPERATING
EXPENGES FoR THE PRE-Se HOOK .$
Go o/s: SESSian? |

Neer To c XCD . . :
, British Columbia, this 2<¢ XK

(OES, 20

Died
day of Jon » A.D. 19 SX!

. 4

aegis

ADbRESS: /39/ Laslepn Lhve * “(Signing Officer)
TELEPHONE: GALS O/ EY

RECOMMENDED:

Date: 8! J/o1{2¢ ; m Detachaeae

This is to certify that

are hereby licenced to conduct a Lottery for the

purposes and in accordance with their application dated

Date:
, Clty Clerk

City of Port Coquitlam