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BUSINESS CERTIFICATE#O 5— i t' <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE l a"l6,'O y <br /> Expiration Date: December 31, coq/ <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 /> 1 <br /> Inc c! ,r,, '`^ EWE y� ��1,',1 �J is conducted at <br /> Business Location: 3 b (N(�(,C�lIQ-�/n� C .c S/1 ' wy�y�( � (I�1�ala, J1 IIaP1L. ,,m� /��n9�KIy� p <br /> Business Mailing Address: lO 1.3d Plaza - Ch- I'lln All-S Ltcleo . �/�IJJp-���-I�qu rte_ (l-2" prn 07/o� <br /> Business Type: ��-�a�� Business Telephone:�2 P7) crDa(D <br /> by the following named persons: <br /> FULL IDENCE <br /> '( N 1r-tx.tmaN-n-AME `AL �� 1o,RESC� AhI "alt�_ Vim 87I�2 <br /> Home Phone: <br /> ertify 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 individual By:Corporate Icer. _. ... _.._ .. . <br /> q'+- �c�7a31 <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 /> � <br /> s- h-,.C, <br /> Toe-C�r��r %,ea e&�. s�r:;�rts q/ <br /> 9ARNS+A*bE—ss- v/ DATE /— /(o <br /> AV <br /> Personally appeared before me the below named /-�-7 id D "e- �'^�-f-- 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 /> . - . . • : d a""'.y OFFICIAL.NOTARY SERA. : <br /> •. <br /> Public. SEAL ._. i -JOYCE E.GOOD -- --- --- <br /> - <br /> Notary Pulifle Commission Expires: v <br /> Stere Cff Now MWIQP <br /> My COrMn. <br />