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' BUSINESS CERTIFICATE#05=1 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPE> /y <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 /> 't DBA�1�(� ,O1�C� is conducted at <br /> Business Location: b s l �Q _��)ti` L/V 1 �Y &k( <br /> Business Mailing Address: 00-rpo <br /> Business Type: Business Telephone: ;f CT O0(o 3 <br /> by the following named persons: <br /> FULL NAME RES E <br /> ( <' 1b6C" f)/�Ir_)IC's J k' i2a.cc21ze �6nP_ <br /> �_ U�17} �fCYJIC.S <br /> Home Phone: <br /> Srtify 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 /> � ,l,o 4y,,.�" fdeJ ro <br /> *Signature of individual By: Corporate Officer <br /> D�u=s- <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 of Massachusetts <br /> BARNSTABLE ss yl,,, DATE 1—,3-05'C_ <br /> Personally appeared before me the below named ( jtl4 C4L %frOb.SS 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 /> Y.-5�/ = - <br /> Margaret C. Santos - <br /> Qu <br /> SEAL <br /> NOTARY PUBLIC Ulotary Pu lic <br /> VVYY�Y <br /> Commonwealth of Massachusetts Gj_3 y_ � I 0 <br /> NyCommiesioii E>t m Sept.24,2010 Commission Expires: <br />