Laserfiche WebLink
t— - <br /> BUSINESS CERTIFICATE#05 6� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE ai p <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 /> DBrA�Inct e 00 b A s.p ji x H ,aVl vt is conducted at <br /> Business Location: g `f Co f LC // <br /> Business Mailing Address: ��B O X 144- o /�LL S n P PA A o <br /> Business Type:' <br /> Q a n Business Telephone: �h oN r7 <br /> by the following named persons: <br /> FULL NAME RE/SIDFNCE / <br /> h / eNE �I ��tder� � 55L Ca Cui{. �Ld <br /> Home Phone: <br /> certify 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 /> xes as required under law. <br /> / 4 <br /> Sig ature of indivirlBy:Corporate Officer <br /> /— z b "E�— 0 �karz ?.3 (a � <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 wino far!to correct weir von-.`ding or c;clinquency will be sr:biect 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 .BARNSTABLE ss DATE i,;2-10-0(1 <br /> - - _ -Personally appeared before me the below named Zber- 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 /> n <br /> Sign <br /> -- I 4 'g <br /> otary Public <br /> SE. Margaret C. SaMt s <br /> NOTARY PUBLIC n/- ( - 0 <br /> COttllt"W""of maudloft0 <br /> Commission Expires: <br /> 1Ay Commiwon Ellpires lith 24.201 <br />