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BUSINESS CERTIFICATE#05 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> . DATE <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 /> DBA/,CD` SI-91414 is conducted at <br /> Business Location: 3S SAA/TU/ Z�;N l <br /> Business Mailing Address: <br /> Business Type: ✓�BP�//�7`�G 6///v Business Telephone: j <br /> by the following named persons: <br /> FULL� N RESIDEN E`�,�,y,�� �,v.��le <br /> Home Phone: ,`J776 <br /> � <br /> s as rrtify 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 /> equired under law. <br /> i lure of individ By: Corporate Officer <br /> **Social Security Number(Vola tary) ' <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 famished 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:Wade under the uthorlty of Massachusetts General'La ,Chapter 62C,Section 44A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss -� DATE 13 - 30-0(4- a0'O( <br /> Personally appeared before me the below named 1 6ryStr:S `1 [a( It e t4- 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 a ch business shall be conducted and shall lapse and be void unless so renewed. <br /> SiJA <br /> gn <br /> bMetQef@t;G. Sam"5tary Public, <br /> SEAL NOTARY PUE UC <br /> Commlmweahh o1 Nl adalsept �j -'9t1,901 0 <br /> Commission Expires: <br />