The Officers or Representatives of the nen ylepy Tames Prise bed,
CUR LABS OF Assume trons OaRmISH Weer ;
» Port Coquitlam, B.C. hereby apply for a

BAS Sao bees SS vA CET
. . . - . ro.

Lottery Licence pursuant to Section 6.18 of B.C. Reg, 265/78.

Total number of tickets to be printed iwalele wae

Selling price of ticket — \_oo value of prize to be awarded Woz over yer OQ.
(Must not be greater than $200.00)

Area in which tickets will be sold Peas (Cieamatram 4 Creniteam

Period duxing which tickets will be sold - From: Wey 1414 jf vo: Bee yang

Place and date of event or draw for winner or winners Geno-ed mectiqa ff she.
2

Preuch.ocl Yoon. 3 ~ Ay Kula Sc tana

Set out names of games to be operated W [0

Estimated disposition of proceeds: Expenses $ _

NG ‘ $
Exrewses OF Tac PREECMOOL
Beaiwe Tae 19160 Sensor

, British Columbia, this \\e&r

Dated at Pos Coc site am

day of Vekover

. Aga
: LON pera CAL Lae

ADDRESS! gaat Seatac Puma Peco “(Signing Officer)

TELEPHONE? Atac = A220 , Loy)

, 2 P UY) *
wy) =
RECONMENDED: ; i, Pet iG Vie ;
QO ey -/, RecN. Pélree
Dates UL LRY S27 _ ‘Coquitlam Detachment.

s to certiry that

are hereby licenced to conduct a Lottery for the

purpeses and jn accordance with their application dated

Date:

City Clerk
City of Port CGoqudtdsin