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BUSINESS CERTIFICATE#073P <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE S.a n : I a � a 0-0 r] <br /> Expiration Date: December 31, 2011 <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 /> J'oi'e eta L aa_ reek CR= DBA IT-P_ AMeC C" G rA A&A cn �L is conducted at <br /> Business Location:A. LID PP,-, E,S kc)e �f1 A u�p HA S �F%� / y L- 7l <br /> Business Mailing Address: Pt D Z� I S a N O ( I— h EaJ m O V I h H A <br /> �y I I <br /> Business Type: C J La c Business Telephone: b — .�a -� y q <br /> by the following named persons: <br /> FULL NAME II RESIDE�vCE <br /> �rePR (or'la L.aJp6 t'h Cs� �{ � �yors i- Sn� U <br /> Hd @ <br /> Home Phone: 50 — S3 <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 /> s as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: 4enme it L�l fPN C o TELEPHONE NUMBER: �06 <br /> Alarm Company: `� <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 I J l <br /> BARA`STABLE ss DATE / <br /> Personally appeared before me the above-named�V tet-'P-A i �_- 1-144 AZe N Cf_—'� 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 year thereafter so long s such business shall be conducted and shall lapse and be void unless so renewed. <br /> ed t O <br /> Nmry PubA <br /> SCACN <br /> y - NoWCBobdicionEgims <br /> SEAL 0Ctpber 25,2013 <br /> Commission Expires: <br />