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r— <br /> ' BUSINESS CERTIFICATE#05-D '- <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWNOFMASHPEE <br /> DATE <br /> Expiration nate: December 31, 2009 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby/decllaa�re(s)that a business under the title of <br /> 4510' n t DBA AS'5;ZA'7E AW-7Y is conducted at <br /> Business Location: y�P"�� QO�,sI/}QulStlTOd�_ Slf/ E� �A o.ZGV1 <br /> Business Mailing Address: go, ars ly so tor, `'4 O-4r-(17 <br /> Business Type: iJ400E04k Business Telephone: `7-W) S39-316d <br /> by the following named persons: <br /> YOM <br /> Saft7"/LOAP440 (/ls'�.Z� d it/aQO�S3�h/, YASI^% /YA <br /> Home Phone: (, �Oe)1(77—7706 <br /> rtify r the penalties of perjury that I, to the best of my knowledge and b ' ,have filed all state tax returns and paid all state <br /> es as ued un er l w <br /> *Signature of individual By. Corporate Officer <br /> 030 �Z7— GG e' <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth ofMassachuse#s <br /> � <br /> BARNSTABLE ss // DATE - 2c <br /> Personally appeared before me the below named 4& C'4 4t441 and made oath that the foregoing statement is .. <br /> true. <br /> A certificate issued in accordance with this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four <br /> years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> C'/' <br /> M TA L.SCOTT Pyblic <br /> SEAL T:oiap fubtic <br /> Commomgoahh of Massachusens QVG� �� 4bp� <br /> My Conunis;ion I spires Commission Expires: <br /> March ?l.?006 <br />