THE CORPORATION OF THE CITY oF Port coguitLam NOV 22 1982

The Officers or Representatives of the oer COQUITLAM PAM
“oe! Kee. Heo Che- TEAM. , Port Coquitlam, B.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 50o

60:
5Q ¢ value of prize to be awarded Ho.

(Must not be greater than $200.00)

Area in which tickets will be sold C Qu TLAM + “DisTRicT + Unie ouu ee? .

Selling price of ticket

Period during which tickets will be sold - From:

Place and date of event or draw for winner or winners

Set out names of games to be operated ay A :
}

Estimated disposition of proceeds: Expenses $

$

Dated at “Re CO Gun iTLAM . , British Columbia, this 3 pod.

, AD. 19 2D. .

e

day of WOU.

appress: “772 wAroeer AVE. (Signing. Officer)
Toon MOmager

TELEPHONE: 943- $93
CLS LG

RECOMMENDED:
/ R<C.M. Police,
Date: L217 Coquitlam Detachment.

This is to certify that

are hereby licenced to conduct a Lottery for the

purposes and in accordance with their application dated

Date:
City Clerk
630 City of Port Coquitlam

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