Laserfiche WebLink
BUSINESS CERTIFICATE#07 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE I ZG o 7 <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 /> i NoN > J. bE Z UC_/}- DBA /�r�� r%r/w.tJ/.iJU S is conducted at <br /> Business Location: Z 6 V/ S T—A C i R G 15__ Ol'JQ S <br /> 2 <br /> yl�£lAAf S O �j <br /> Business Mailing Address: 2G V/S TA N P£^ /�/ s S d ZG of <br /> Business Type: /"b J.U,{-,J !q;_ i iC,< Business Telephone: .!rOY 776 ggile <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> AN�—li�v�t C� �� [�<_ a Z� y�s�a c/ c��� s"141 <br /> Home Phone: !il7— S Slr 4 <br /> 0ertify 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 -0/6� TZ? 776 <br /> NAME: J L.ka� 'T T4_. 2 ��c.,q� TELEPHONE NUMBER:'�4t, <br /> Alarm Company: - <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 correct their non-filing or delinquency will be sub iect 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 /> BARA`STABLE ss DATE cu ryL bp7 <br /> Personally appeared before me the above-named +V�u J I' .Ay C q and made oath that the for going statement is <br /> rue. <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 ye hereafter long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> �ed <br /> Margaret C. Santos <br /> NOTARY PUBLIC CYotary Public <br /> SEAL �/ Commonwealth of Massachusetts <br /> Hy Commission Expires Sept.24,2010 / I b <br /> n n - Commission Expires: <br /> Y ' In <br />