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Knights of Columbus
i GC-5 NYS RACING Xt WAGI/RING BOARD 1 Broadway Center, Suite 60U Schenectady, NY J2305-2553 Telephone (518) 395-5400 Fax (518) 347-]469 www.racing.state.ny.us LICENSE TO CONDUCT GAMES OF CHANCE PLEASE CHECK GAMES OF CHANCE ^ BELL JAR ~ RAFFLE ^ GC-m- 2 1 - ~- N.Y.S. Identification Number 1 .1. 0 2 $I 25-00 Municipal License Number Amount of Fee Paid Lessor's License Number The following organization: K n i h t s Address: 2660 East Main Street Ctty: Wappingers Falls Zip Code: 12590 Entire net proceeds to be devoted to the following specific lawful purpose(s): Names of Members in Charge James O'Conner John Gorman Max Dao Thomas Lynch (:inn ('.all i LICENSE PERIOD DATE DAY OF WEEK HOURS TYPES} OF GAMES 2011 RAFFLE DRAWING DATE t~, , ..,- ,, , ~;.., ~J i ~~, I. A.AttM ~, C' This License Must Be Conspicuously Displayed During Conduct of Games DRAWING TIME DRAWING LOCATION AMOUNT OF RAFFLE PRIZES (Cash or Merchandise Prizes arFair Market Value) THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED FOR EACH TYPE OF GAME OF CHANCE NUMBER OF GAMES EACH GAME (Starting Bank) -THE TOTAL AMOUNT OF PRIZES FOR EACH BELL JAR DEAL SHALL NOT EXCEED $x,000 AND NO SINGLE PRIZE SHALL EXCEED $500. Issued by TAT.,., of Wap,Ringer (Name of Municipality) 01/25/11 (Date) L BJ-GC-S (Rev. 3/U6) THE MAXIMUM AMOUNT OF PRIZES TO BE AWARDED FOR EACH MERCHANDISE WHEEL NUMBER OF' WHEELS EACH WHEEL GAMES SHALL BE PLAYED IN ACCORDANCE WITH STATE LAWS AND RULES AND LOCAL ORDINANCES OR LAWS. Town CLerk (Tit] of Authorized Officer) ~C~~,~, (Signature of AutholrlIized Officer) lillll~IIIIIIIIIIIIIII~IIIIII ~~ _ . 1 •(`~-2 NYC RArn~rr x. WarFRiNr: RnAAn i Eiiiiiilway Crriiiti,,"~uiiev^v"v Sc1,el,ectacfy, ~V:r` 11.iu.~-~~ ~3 Telephone (51 Rl 395 54(!0 Fax f51 R) 347-1469 www. racutq_ state. ny.us AP>~LIC'ATiON FOR:. P'LEtiSE CiIECI: (Cnsinn Ninhts Rslzslsira Cilrnivnlsl ~~' SELL JAR i~Ei.~. Lr f linty iatlzs w; o-~~r $',O,OffO ret ~rpfit; iri'talendar 5`~ } T ~. ~~ <~'~, 4'1 I r. ._ _- ~.~ _ 1'--T~ r-~---t i-r-, riii4{ 9®Fr zi N. i i F F 'F S F2 ! d• i ~ ~~,~.. 1~} 1 :'. j. ~. i ~.. t 1 : . ~ •s>, li~.*3 ~, I 1 I I~ I f l~ l I ~D ~cJ I I v l~ I I ,.. ~, 8,/ I~ I~ I v~u v~,uy 1~14113VIpal LtVt.11JV 1\Naa1Wr l~ryl liwyl~~ Late ~ Lr1STRCTCTI01lTS: PLEASE FILE THREE SIOI~EI? COPIES WITH 1!~[JNICIPAI:IT4' ._ !!: - F~ .I i - i i E F' i !O F F - iOi a.F i F~- E `J F TT T~ 4-AQ:TSITE11~,41~t1R TO M:~KF.:4NY FATSF. CT:4TF.MF..NT4 I?~I THT~ APPT,TC'ATT(?N _ ac,~~ of w-a-ppi~1 ,.~ ~~•~c1~2S ' L'v':.:12." FHA ~ H. \~y~.i \I~~A ~1..: 2. rlaaress a,faCoO ~~ Wi i4l 1~ 5't'--~'"~ I.v1~Pp i /JC~2.V~ ~~S N~ I ZS"~? O ? T?^_c ^_nr+lira-et r~vrr }srnr..-1:~~irril o namrc rf r}~~nrr 1 ~rncr? ~1 V.Qr *T~s Tf'~irrc" x.•her`1 ~A!!~r}e _ -lr,:.._hnrt if nn r ~t n Y~F_._..F, i...~.. .. i'.._.... ~..... a:..~ .._.f :i-..~~i:.... i_F.. ..:. ... aF_.. i~i..i....~.i .i.. a.. .._ :._....~.. _.._ .. ,..2,,,,.. ~~ y...,. „S b..i....,.w,,.....S.y ....yl+i..,...,.v, g.... u.., vwaw ..,,.. vuw ..2 .22,.,,2 m„2..µ;;;2, L:orporat,on i; ~uc~c illwi~itJ-aiCU Iaco:porated Association I III~,IV 111 INI 1~ LatC I I I I 1 1 1/ l t I F ! 1' ! 1 1! 1 FT T~.. e.. i F i t F F/ 4 i ...wiv 1 1 1• 1 1 I• L 1 1 5. llld your corporate status chance since your Identlticatlon number was ass,gnedY U Yes LJ No V. :iG Yliu uiili:'d i:'u.;::: :.-,: L'::vG: u L:uuG ::Gi:iG: _: : G: iii is yG.i n'ii3i i:. LiiG L. ui:G i:.::iiG' /. r~uoress wnere games, oeii jar, ur raiiie urawing~s j are iu oe wnciucxeci. ......... :. r chance lessor renhne to annllcant. y. lloes the appl,cant own the preln,ses'? Yes U No if "_yes", how longY ~ ~ ~ ii;. a iiiiti:'•ii~ iv: viiiiiii' ii~:~i.iii_ii'Y' iii ijil'SSiiai~ iiii..~L'fitiY ii4'rfii?J iii Vti:•iiLii{_{i. ~ /~ i t rr~.,_ ~ _....--= >,=~.. -~:-:,,zr!-, ::~~a?~4~.,._ (~i din jt n~ z_ 1~, !,n::, tnnr:~ / ~ ~ i v J ArE garner of chanoc ~"ieiny", litayed now on these prei~uses or Has it ever ~7een?~[ Yes ^ ivu If "yep', give futt detaits. de,l.L_ ~ ~ P ~~~ C-~tit~~~ o F c' ~- ~-rlae 5~, c~ecv~o~vs 12. Are the nremiseS Or anv Hart thereof TF 11.,peiF St.•,tf! the tvr.~ of ~?r.QnsQ ar.~l neimh~ where games of chance are to be played ~ YPs ^ No _ . lic..Pnsed by the Ctate T.inllnr Ailthnrity9 ~-( ~ ~ ~ ~ 3 1 "~, N~c cE~C12 liras ever been If nyecn yr}Iv`I fEXnlairi on a se>,a__*ate sheet. if r_ec?ssarv. and 3t13c1_L1 revoked or suspended? LS =es ~L'Lo - $ li!-i;t ~-~iEZrv_:a;E!!:i rli '^a' `_- ~~ ~ `~~~ ~ I~I : ~~li~l~: i ~~ ~s II F!$ E$ EIEE ! $$i 1 $$i$EF$ { ! F$ i$$F FE 111 It 11111 ~\I I ~$I$11~ 111 1111 ~i __ _..._ _:._„ . ~ ... __ _.. __ ..~ __ ~_i: _ _ . ..: _ .. _ . _.:~, _ _ ._. ~ _ _: z _ _ ~ ...:,~ _ __ of the N.Y S. Racine & Waeering Board, and the local licensme ordinances or laws. TI:^•~ n.^. ^n^.~rticee^r ~.~t.;.... ....mn.^nc••}:R~ rm.:rRr~ .^.r m^^mn^rcr eri?~ h^ !Snlrl }R !S!][' R^M.^.!t f.~r hnl~2iro ;•r r• c n }w.. ,. ..,}:r C.OIIdiiCtin$ of LiIG ~4~v$~ caccpt t~ ~OvMwjn:ao yr ac:,cur<tars; for fsrcfVaSlOuui $~1Cti.S ITi ~ anrvLint ii6t ~.Xwvdilig that ~7u.d V y" tl'iC Baird. lW.; '.l l~ fT~ 1.I toy ~'r~ ~ V~ ~ ~'~JV~y~ llate L-i--~ 'tg jture of Head of VrRamzahon Yrm~~ _$ C;UiuNTY nF ~ a ~ r1~rY~rnwiy/vrL.L_ac:E ~ V Y e~ ,~ ~+ r-r • rci~ ~ ~ t ~ {~~ `\ na~no^,U4! S~x'rJT^ ~1?*r~r~lY:~ 3_^_« c~~[c rn~a„r `c~na. is rnP.l.P±'Rf~n. ann~~_ra »aT~~y arfixe~ his (herj sibnature to this afitslavit. .W..~.~ «-„ ««., «..,....«: ~.,,. „ :,,;, r;.....,.:..--~ .rC~~~ FuLl~t .y ,~• ,_~ ~ rim - - ^~x.,...:.- 3.r_. r.._._..:....:.__ ...__:_.... DIANE ANDERSON Notary Public, State of New York No.OtAN8192085 Qualified in Ulster County Commission Expires 08/25/2012 1l11! !! !L !!! ! ! !!I!!!! ! ! II!!!s !1 s.t-cc-2 (Rce•. 3; ~} Page 2 of 2 ~!!~ ~~ ~~'~! ~ ~ 1l~~!!~ I ~ ~~ ~~ ~-_- GC-~A N~ ~ ru+crNr, ~ ~~~~~1~;~ Bu~i 1 Broaclwar (;enter. Suite 6Qtl C h,.er._}~~~, ATV 1'1Zl15_~SSZ Tclepnuiie (SiSj 3~, Swt3(f F:ix (31S} 34i-i~i6y -_ _~~ rnrinr c}~}v ..~~ ~~. ,r, s4 i~ ,! --_-. if 3 3 ~ i Y'? ~ j`Tj~?~IS i i~ E~i 3 i~i 'Vi "~j ~? i' i ~ i~ e~ i i o~ {~+ i ~ _ _ , '3 - ICI ~ 9 i - i Flo I - Q'zl ~ z ©' i ~ I~~ f Iz'~ e' ~ ! i1t Y,i EtSe .TtTF T'i r;.~Fi Elr'e ?SiiFT'et C}ri ! i }~Er• aCii~~uL~ i• ~ List names, addresses and dates of both of all othcers. V N r 1t. L+ Ra A1V L LtKt+.L t VKJ Ii urgarilZatiGTi iS d %viYJrdtlOry Or a71 inwljiQrat~ vi ilriiriwryGI"nt~ dSS4Cldil0l"i, Iist O~C2r~ an(I lllid;tOrS. T:: ~.F ;•71t?„fF i~;'~ ~ ~ i~~ RT?Tf-i CT??~FT ;, ~[_IL-~1JU ~~~ M ~k /~d /~,. ! g / ~ ~!_lKFR~ !;_~Yr r,~ C~31 2 1~w ,r? _r~,.~I i (~.PO gDAt~tlllr ~_ ! R~(~~~ S-j7LU rfw(! ~ ~i ~ ~i S ! i ~°~? ~ i -~~f~" ~ C~_cel ~02 .~ i 30 Svt/or S~ -~ d2 ~ W F,~l~' ; ~ a.~9 v Rr~•., ~~~~~~ ~`~/ l 1 %~i 33,_Ph .~ ~~.tS tQ~ I a~io F~tl~f I ~a.1°'9b Frz~a-~ ~c ~r-.,a.C~~~ ~ I ; ~ 1; ~ ~l G~~.~ Q ~p ~ ~ ~I. i~,-~ 1a~ ~-- ~- - _ '~ .~ ~ 4J~!~2_.-`~t~.~~ j ~ % ~ % ~ 10 GA~vli~ ta'1~~ j Z U _I~S~~_ ~~h ~a.,,~ ~ic~u~,piG~ I~~~~~I_i~ /hy~~~eti ~~ ~ ~ ~ ' ~3i~-W~ ~ ~ ~ ~ : S"~" 1L64 S~}- 31 ~ ,~ ,~. ~ ; K2i~~r- ~~yr~S ~ ~, : ~; ~J ~ ~ D S ~t. ~ U/°'~~ g ~1J ~ is rq ~ i ~~~~ i D~ t o Bh-~w~ ~ s r., b W qlr _ i~ i Z i i i 2~,~~i!vrs A-y ~ i i i Attach a~ditinnal sheet if necessary. SC';<IE>rDLTLE ?: MEMBERS ITT C'IiAI2GE OF GAMES }. A! Il"}' ! tC••l• 1 L ~'1` • 41 t!) 1A1,'•, .1 L`L'!]l` : lL' .4 t}f :: ]f`.4 t.!'!' •:!): _.4 ~!1'J ~ •!f :`.!1 ~i i a i T ~vi'~it~i, ~.r Z T 1 S T." _ _ 1\AlYli.i •^.-raerr.m a ^.r ssrf•`•! .^:rms- 4~~ ~( /~ @ (/'~ \ / j v/r/ 13110 1 r/i[ 1jVJ.j~' j~/j[S f~" x Jrl~ U t l~l.ili 1 AL/Ll\l..iUU zrn S' J v' Rc ] O'~`.+~ I 1 J ~ ~ T ~ + i I l.il l 1 Lail ~ ~ v.~ C?OC2,wt~J i >_ .. ; ~` ~--- ; ~G ~ T ~ ~~" J _ ~2d~op _~- ~ 2 J~ (7 M ~ `l7/~p j 3 ~ 2c~ i g 3 i _~~__ ~ 10 ~_~ r~G~r~ d~~ w AQ~ ~ ~ ~ ~~ i i i i i ~ / i i s ! ! ~ ! ! ! SL;H1fJllUL~: 3: AUXILIARI'{A + + LIATIr; ORGANIZATIONS ASSISTING AT GAMLS +^,qn vin~i i~gii4~';r vi rnu ,.~_~in r n~ruc + ^.1!.. I.. .i. f•'h"l. i... !•'_qf 1H nlIvry.!niiyinh'w'll.InyH!.!\!'H'.li nqi lX!Y. n~r}r t!~}ilM^!it n, w. ti'. .i..I.fR.ri. ~t 1 T T A T. ,TT^ fZT .! T TS!T7 T t Tl S r ~ ~ ^T^TT T 1 mr. !'~ .! ?s .!7'' C !7^ ^T F 1 ~ T.^T'.` TT> ! TT TR .!'f1 TTT !yr~!v,~>!_•r r~~_r J~rt rt at f-~,• rtrrlrrn.~f-~, r, ~rr„v„~.~i ~_n~ ~_,, ,r~!vt,, ~, ,,i !v!_nrnn~. rte A~I;LICATION i+'OFc GAMES OF CHANCE LICENSE ! _ ess ? rse: ~ e:~e:~ o is ~ e: s :a: ~ BJ-GC-2A (Rev. 3/06) p34e 1 ~f ~ Eii i iifi ii iiNiiiFii i Iii i fE tiii ii~lEii ff~ . ~C:H13:llULl+:7 ~ 7'YI'N:> UN' t>rAM~~ .7 ! .f ~;! 7?! !!f ~1!!'. ~ifiii~r_'! iyfir~ !lf Q}ifliYl ~!) ~!!' !l ff ll~Ifl-;~f'i! i!~i3~f ~f!'.k''f15t' f)C! f!)3 !!~ !'.f llifl!!'.f i}~E'!! ff~f 1!'~!!"!!!l~!' c Note for yesas !Nights anU F3azaars oniv: The total amount or prizes during any one license period shah not aggregate more than $40Q far each single t<,~e of game of chance when fiEle t~ges of games of chance are to be t'~!il!~i1Gr!w~ l~ffri ~!C/ wflV ~!flL~ 2f C~Efl~c !!t'f~fl2!!- T ~1C Y!}'I',ii.~ it.llli!I!!1~ !'.1~ lfrE?.Z~ !~31rti~il ~.!!V t!flt~ !!!.;CF7~C !!CFI~)!~ .R'l ~ i.~~ 3~!e~ aggregate more than ~~uu rot each single type or games or chance when less than five sineie types or games of chancfy are to hfy confi»cteci dunnf? any one f~cense t?enod: 9.i?1 i 3v%-\?i'ii'. !^li~ ?'.ri t_.3'1 i 3' 3"~ t 73• L~! ~ i i i ii.:~ lil£i l: iZ3Viti iY'i i e?tifL?i:?V ! C)3' i~?i.i~i:_3 ^. s s r^ ..^.r ^TT . ~.T!':r mr. Tlr A TT7 • TT T'lr7'~ T^!'~Tl r A ^T7 TS.^lr :>T^ \1N IVII'.1/1` \-.11/'1IV/_.1 `. /\I I)1 ". l1 VV l11\1/1'.111'•II1 1'. /"\\,11 1 111'.\/1' !T . __.. e . E f `..__.....! ('_ A 7! .T~ ~1' l1LT !! ?tTf'Ir' <!'! A ~ .~ R A R?i/ 1 \ " -i at m arw At $ ../ u\ w ..L Q u\ -. Fnr l~/[arrhan<lj~a ~~IlipPlc R~11 Tats anti R_'afff!!PC T?1.PacQ ~mm~iPtQ the a*~nrnnr~atP enarac hQ~nTx/ ~!(r"Pf'ITTAArT'lT~'P 11rlTT-;rT c!. TIIE TOTAL A!'~'iOUIVT OI' PRIZI/S rOP~ n mrr. x Tr s TT Ts r7,~1rn :?r _ _ _ _ _ ii iii:.,i ii:... iii: iv`ii/%il. iri' L.'iL.•ii i;'.i.Z.:riiC_•i i_r=11 „i: i1Ji_, ?i"~1L.3~: , .JS i. i .,L ~DnTT ~ TmTCL' tirrsnrT r ~TnT Tn.+nT,r.r e+i n rnn r. TTr> ~Tr-s C'ITAT!IT r 1•.. ,i t,vlu l.i1L1UL •/ 11L..iL.wLV 1\\/ l LL•~LiL/ w IV.VVV t llYlJ 1\\/ l/II\\1L.JV !rtT« T Tr!STT~ TTT?T'7T CaTFAT T rVf'/rTT'! Q"!S.^. T2T:'T I T A ~ _ THE TOTAL A.ii~IOU'Iv"T OF PA`z'OU i S nrr~:f- n -^ --- -a-rte-r- s T}nr Tn : m.:: :s- _ _ _ ;1 ~i~i\.,: a;~.. i:::il:i: f:..:i+...:i itSi° il!i4{it%ii .{i lii'.3 .i. 3:~i ii i3i'. %~?3.:13?Hi.3. i~3(f? in L'vD ~ DLLT TAD -- •/ + L.ra >,iV f'•. A\~f+. f'•.1 I •'1111111 H_IVI / IV/^/~IIVI TI n. P'R I/.1'+ ~,_ ,.. rT!"'T?r~T~!T? nTT a T z rte.-^IrrTZ /^rnr. ~~7-. ~v .... Uil['1LLL i.~L1VLLL WJVV ?? ~ SFr F c RTT1T1'~ A Tr Tr TTTT^ A Tr1T1T T^. A TTfl3T _. z s_ i ~ c _ _ s.. i.>_ _ i _i.., L >r i i.s, ~. _ s : i J _ TC? T'`~T A 77 A j,`TT ~ r r!~r:?,:r~r• Y_F.S n NO ~ TF VFC T;]CT RAFFT F 1~ATF~ 7'T~1r[F(~) CAF T?R 4~ITl~TfT(S1 ANTS PRi7F.S I?~I` SCHEDLZE S 11 i i ,• 1 t+ i rl l t13'+ia_/ .l i 4 i a_+i' i ~3lii:i:• ~~ i___ TTTr T) A T'. T'T rf~ ~ TT'~T TrrTTT'! T!T TTl /'11.1. 1111'. I\!11'1"1.1 '.,l \.\/IYI I\/\i11'.111/l 11\~ TA TfI TTTTCI !'1 A T T'!T_TT1 A T'T ETT'! ATT ^TT A T T 11 • V i 1L.1.1J \./L .. •Li \LL li\ 1 LL !1\ UlJl WlJ NOT EXCEED $10Q,Q6~. iv'O SINGLE F'i\4ta: ~l i"3Hia: i:r4. 3'. .3 r` ~j;, i.gi:Ff r~~~rnT T L m n'=T.^IT r T:TST^r r~r 1 ', /\l .l '.1 I I l Irl l h .111 V1 11 .1 •, 1 1\ 1/,1 '. \ /1' .p i vv,vvv ivtr~ i JJli r] YY t'1LW1.iL u' rJV INDICATED IN SCHEDU"I,E 5 L~ ..., _.. ~__...... .., i agv ~. Gi ~. iiiii~ i i iei~ ii i iiiiii i ~~ ii iii~i ~ uuulnm^Inuu^uuml ^ 111111 I I INI I 111111111 II NII ~~ 1 GC-4 FINDINGS AND '' NYS RACING & WAGERING BOARD DETERMINATION 1 Watervliet Ave. Ext., suite 2 FOR GAMES OF CHANCE ~ ~~ Albany, NY 12206-1668 Telephone (Sl8) 453-8460 Fax (518) 453-8492 LICENSE www.racingstate.ny.us ( ~' CJrC - 1 3- 2 1 9 - 6 0 I I ! 1 1 0 2 N.Y.S. Identification Number Municipal License Number Dutchess ame 61416 Name of Applicant 2660 East M^in SYYPPI-~ tT..~~t„~4~~„a~~~T~~ ~~i~ Address After investigation, and a hearing if required under Sec. 192 of the General Municipal Law, the following findings and determinations have been made: 1. All the members-in-charge designated in the ap [cation to character and have never been convicted of a e. Signature of Person Conducting Investigation Title 2. Applicant is a qualified authorized organizatior~s defined in the Games of Chance Licensing Law. 3. All the members designated in the application to conduct games are bona fide active members of the applicant organization. 4. The premises presently owned or occupied by the applicant are in every respect adequate and suitable for conducting games of chance. 5. The games of chance are to be conducted in accordance with the provisions of the Games of Chance Licensing Law, the Rules and Regulations of the N.Y.S. Racing and Wagering Board, and local ordinances. 6. The entire net proceeds are to he devoted exclusively to one ore more of the "lawful purposes" as defined in the Games of Chance Licensing Law and the Rules and Regulations of the N.Y.S. Racing and Wagering Board. 7. There is satisfactory proof that no commission, salary, compensation, reward or recompense will be paid or given to any person for conducting the games or assisting therein, except to the extent authorized by the Games of Chance Licensing Law and the Rules and Regulations of the N.Y.S. Racing and Wagering Board. 8. There is satisfactory proof that the type and value of prizes offered and given will be in accordance with the provisions of the Games of Chance Licensing Law. 9, If applicable, the rent to be paid to an authorized games of chance lessor is reasonable. 10. Other findings: (Specify) ^ Yes ~iNo ® Yes ^ No ~I Yes ^ No ® Yes ^ No ® Yes ^ No ® Yes ^ No ® Yes ^ No ® Yes ^ No L] Yes ^ No ^ Yes ^ No TO BE COMPLETED BY MUNICIPAL CLERK: As a result of the findings and determinations stated above, license i Filing date of Application January 18, 2011 of chance are of good moral s GRANTED .license is DENIED ^ Signature of Authorized Officer (Municipal Licensing Authority) Date ~I Z~ I At1 Title ~~~ ('1 erk ONE COPY OF THIS FORM TOGETHER WITH ONE COPY OF FORM GC-2, 2A, 2B MUST BE RECEIVED BY THE N.Y.S. RACING AND WAGERING BOARD FIVE DAYS PRIOR TO THE FIRST AUTHORIZED LIICEINSEf PEi RIOD. I L BJ-GC-4 (Rev. 4/03) ~~~ II IVIII I {I III VIII Il 1'I IIII J TOWN CLERK Chris Masterson 20 MIDDLEBIISH ROAD WAPPTNGF.,RS FALLS. NY ]2590 WW W.TOWNOFWAPPINGER.US (845) 297-4158 -Main (845) 297-5771 -Direct (R45) 298-1478 -Fax TOWN OF WAPPINGER Office of the Town Clerk January 25, 2011 Knights of Columbus #1646 2 Main Street Wappingers Falls, New York 12590 Attn~ John Gorman Dear Mr. Gorman TOWN SUPERVISOR Christopher J. Colsey TOWN BOARD William H. Beale Vincent Bettina Ismay Czarniecki Joseph P. Paoloni Please find the attached Bell Jar "License to Conduct Games of Chance" for the year 2011. I have also attached a receipt for your payment. Please do not hesitate to contact my office with any further questions or concerns. Sincerely, n C. Masterson wn Clerk JCM/cf TOWN CLERK Chris Masterson 20 MIDDLEBUSH KOAD WAPP1NCiERS FALLS. NY ]2590 WIVW.TOWNOFWAPPINGER.US (845) 397-4158 -Main (845) 297-5771 -Direct (845) 298-] 478 -Fax TOWN OF WAPPINGER Office of the Town Clerk January 25, 2011 New York State Racing and Wagering Board 1 Broadway Center, Suite 600 Schenectady, New York 12305-2553 Subject: BELL JAR LICENSE -Knights of Columbus #1646 - 2010 TOWN SUPERVISOR Christopher J. Colse}' TOWN BOARD William H. Beale Vincent Bettina ]smay Czarniecki Joseph P. Paoloni Please find enclosed the GC-2, GC-2A, GC-2B, GC-4, and GC-5 for the Knights of Columbus #I646 for the year of 2011. J n C. asterson wn Clerk Town of Wappinger JCM/cf TOWN CLERK Chris Masterson 20 MIUDLIt3USH ROAD WAPPINGFRS FALLS. NY 12590 «'W W.TOWNOC'WAPPINGERUS (845) 297-4] SA -Main (845) 297-5771 -Direct (845) 298-1478 -Fax TOWN OF WAPPINGER Office of the Town Clerk January 18, 2011 Adrian Anderson, Sheriff 150 North Hamilton Street Poughkeepsie, New York 12601 Dear Sheriff Anderson: TOWN SUPERVISOR Christopher J. Colsey TOWN BOARD William H. Beale Vincent Bettina Ismav Crarniecki Joseph P. Paoloni Enclosed, please find a copy of "Members in Charge" for Knights of Columbus #1646, 2660 East Main Street, Wappingers Falls, New York, who will be selling BELL JAR Tickets on their premises throughout the year 2011. I would appreciate your review of the application. Please complete the "Findings and Determination" form attached and return the completed application to my office. Thank you for your attention to this request and your prompt reply. Sincerely, J C. Masterson wn Clerk Town of Wappinger TOWN CLERK Chris Masterson 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY ]2590 W W W.TOWNOFWAPPINGER.US (845) 297-4158 -Main (845) 297-577] -Direct (845) 298-] 478 -Fax TOWN OF WAPPINGER Office of the Town Clerk January 18, 2011 Adrian Anderson, Sheriff 150 North Hamilton Street Poughkeepsie, New York 12601 Dear Sheriff Anderson: TOWN SUPERVISOR Christopher J. Colsey TOWN BOARD William H. Beale Vincent Bettina Ismay Czarniecki Joseph P. Paoloni Enclosed, please find a copy of "Members in Charge" for Knights of Columbus #1646, 2660 East Main Street, Wappingers Falls, New York, who will be selling BELL JAR Tickets on their premises throughout the year 2011. I would appreciate your review of the application. Please complete the "Findings and Determination" form attached and return the completed application to my office. Thank you for your attention to this request and your prompt reply. Sincerely, J C. Masterson wn Clerk Town of Wappinger BELL-JAR-GAMES OF CHANCE- 2 7 $ WAPPINGERS COUNCIL K OF C 1646 1-1oai2ao ~~~~11>A-7c~i t ROE 1' d t',U 1.~ ~ ~ W /~ l~ 1~ 1 -'l~ .J~ ~ ~ ~ 5r~~ D~ ~(~V.9 ~1 V'e- -DOLLARS WAPPINGERS~S OFFICE MARINE MIDLAND BANK, N.A. MAIN STREET ~ WAPPINGERS FALLS, NY 12590 ~ ~ ~ w ,^ :0 2800 L08 L~:08 2 7 5 5 3 2 2~~' 0(~ 7