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BUSINESS CERTIFICATE#06 <br /> r <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OFMASHPEE <br /> • DATE ZS ZAA3 2004 <br /> Expiration Date: December 31, 2010 <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 /> /7 01-r-L Co., SNC, DBA j9rA4-flticli4-y is conducted at <br /> Business Location: 23 C 5--rn0n05 Rb, M/I5<fff£� /LIR <br /> Business Mailing Address: T 0, 66k (140 <br /> Business Type: R G7r#SL Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> k. euworw H, G657G,e /&// A'4sx� 57' S0 �zy�txs iN.9 <br /> Home Phone: 5Z)6— 3cW- � 00 <br /> I certify un5ker 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 /> taxes s r utred under law. <br /> lWignature of authorized agent * t ature of authorized agent <br /> 0,4 214f& 5-2 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency q Q I <br /> NAME: i����cG N . �ST�iQ TELEPHONE NUMBER: �—� / // �� 3 l <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 ojMassachusetts <br /> BARNSTABLE ss DAT 94 d60 b <br /> Personally appeared before me the above-named , bhp e C"OSh 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 yews thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed �,., <br /> SEALMargaret G, Santos Notary Public <br /> • o No•T ,Ry pUBLl husetts 9-,PL(- D010 <br /> nwealth of"sac 2p10 Commission Expires: <br /> Commo Expires SOP 24, P <br /> Ny Commission <br />