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BUSINESS CERTIFICATE#06�L <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWNOFMASHPEE n <br /> DATE <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 /> unde signne�d herreby/d�eclare`(s)that a business under the title of <br /> Com- /V L7/y I /'eWO&• DBA �I �/ /� is /conducted at <br /> Business Location: j �t!��' L�/U 1) 5� y�(T{I.St/1��/�� (G� • /�/1 A �t//7DQtC� L� 7/• <br /> Business Mailing Address: � I C 6 Z/)qN 5 ` - / t/t J - -e-[� i y/`/ QoC(j y07 - <br /> � n r <br /> Business Type: / 4Al S Business Telephone: Lf 3 �a <br /> by the following named persons: <br /> MULL A� RES ENCSifl / <br /> ,1q . <br /> Home Pho ✓� �� 7 <br /> I cert' under the penalties o erj that I, to the best of my knowledge e6 li have filed all state tax returns and paid all state . <br /> as requ red under law. <br /> *S' ature of horized agent *Signa a of authorized agent <br /> 0 3� v t � X655" <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: d /4 /t/� ! TELEPHONE NUMBER: G1).-,2_3490�O <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 of Massachusetts <br /> BARNSTABLE ss DATE 46, 0 a . <br /> Personall' y appeared before me tb6/abjove-named -569e6/ tl ( , .�/t I�1 !1'l/ � and made oath that the foregoing statement is <br /> true. <br /> 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 /> eachfo <br /> Sed r years thereafter so long as such bu ness shall be conducted and shall lapse and be void unless so renewed. _ <br /> i // <br /> �/if/4rUl�J .ttioZl'r�7 <br /> • U <br /> Not,ryP 'c <br /> SEAL <br /> Deborah F. Dal <br /> fVi NOTARY PUBLIC Commission Expires: <br /> Commonwealth of Massachusetts <br /> My Commission Expires Jub 24,2W9 <br />