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BUSINESS CERTIFICATE#06 'moi <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE ti3 a 3- U 6 <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 /> mo( 'QQ I <br /> DBA M V Dr YQL <br /> F( \ <br /> [ is conducted at <br /> Business Location: (S POcA View U(- <br /> Business Mailing Address: Is- 1OrView 'pc <br /> Business Type: TecA 6 Ca Business Telepbone: 769 <br /> 15-0 O <br /> by the following named persons: - <br /> FAL NAME Pond �i'CFl.) <br /> - UZDia/,ti o ee <br /> ((��17 <br /> Home Phone: - 6 - 957 4-( <br /> I certify under the penalties of perjury that L to the best of my knowledge and belief,have filed all state tax returns and paid all state <br /> Aftwes as required under law. <br /> "Si ature of authzed agent *Sigdature of authorized ageW <br /> 033- 8-7630 <br /> "Social Security Number(Voluntary) _or Federal Identification Number <br /> ML/'c- <br /> � / . /n,` ,, In case of emergency /[ <br /> NAME: 111 RCEt /'7/Y/l�➢OL1) TELEPHONE NUMBER SC Py - -7q Z - g�l-7_7 <br /> *This license will not be issued unless this certification is signed by applicant <br /> "Your social security number will be famished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to corned thein non fling or delinquency will be subject to license suspension or revocation. This <br /> request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> 77re CommonweaNh of MassachasAJs <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named J N tCLm5jU 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 yearspreafter so lon as T <br /> mess shall be conducted and shall lapse and be void unless so renewed. <br /> Signed — <br /> • <br /> SEAL Margaret C. Santos Notary Public / <br /> ,� 2� ��� <br /> NOTARY PUBLIC <br /> Commonwealth of Messachusetts Commission Expires: <br /> Ny Commission Expires Sept.24,2010 <br />