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2004
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2004
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Last modified
12/1/2016 8:56:20 PM
Creation date
11/13/2016 10:16:15 PM
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Box 037
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R <br /> BUSINESS CERTIFICATE#05-�-7 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWNOFMASHPEE <br /> DATE / ;? -0-0 `[ <br /> Expiration Date: 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 declare(s)that a business under the title of <br /> Oe-e-K 4 L J -7!5'e/-na n ✓ P_ DBA �SQ >!" b ri 2 4-y To is conducted at <br /> Business Location: #�N d r.�t.ni t^2 c( M a 5-ti!Jv Yn A n IL G t.1 <br /> Business Mailing Address: <br /> Business Type: if Sed 0 A ag Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Home Phone: <br /> 0rtify under the penalties of perjury that I,to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as required under law. <br /> *Signature of indivi 1 By: Corporate Officer <br /> c9 t-9 2 L!3 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 subject to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts - <br /> BARNSTABLE ss DATE is n-oY <br /> Personally appeared before me the below named CleV a MOO rL 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 years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> e Margaret C. Santos Q cs <br /> NOTARY PUBLIC Notary Public <br /> SEAL <br /> �pmrtiomaon Expt Massach24,2 Qj-all- aC 10 <br /> aAy;Commatilon Expires Sept.24;2010 <br /> .. Commission Expires: <br />
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