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THE CORPORATION OF THE CITY OF PORT COQUITLAM

APPLICATION FOR LOTTERY LICEN

Section 6.18 of B.C. Reg. 265/

Organization Name: Gp Centp Stee Sac, ery

Total number of tickets to be printed: AOCO

cb
Selling price of ticker: AS PgR CARD. value of prize to be awarded Wikk BE DoNATE Dd.
(must not be greater than $200.00) nc cash prizes
DEC 4rH 1982

Period during which tickets will be sold - Fron: | S206 pm To:  A0ep,,
; : , (Cannot exceed’ four months) —

’

Place and date of event or draw for winner or winners:

Place: 2667 kinesway AVENSE Poet COQ0ITLAM Date: HEA Aten 1982,

Estimated disposition of proceeds:

Expenses: $ iw.

Donated to Charity: $ Akk Ieocێps.

Retained by Licence holder: $

(Signing Officer)

BZ46 Hevey SreeeT Pmeeny. Print Name: Susad  Séssions.

Address:

Hot- sad. Position: WORKSHOP SUPee) cap

Telephone:

“ RECOMMENDED : f ff
53 -Ul-on petkinoly SAG?

Date:
— -M. Police,

Coquitlam Detachment.

This is to certify that the above noted organization are hereby licenced to

conduct a Lottery for the purposes and in accordance with their application hereon,

Date:

City Clerk,
City of Port Coquitlam

THIS LICENCE IS ONLY EFFECTIVE WITHIN THE CITY OF PORT COQUITLAM.

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