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f' BUSINESS CERTIFICATE#08 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWiV OF MASHPEE <br /> DATE J (;Op <br /> Expiration Date: December 31, 2012 <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 /> G,Y, [,pyodlr "I�•�L�Lx-0t-6Z_ /7 DBA-(-("(,Vvn0/4 f A/QUVIL�tl/p7/G(.( 1�, 4 is conducted at <br /> Business Location: Opg/ C60]FlC( ,�t.�,r12li—�(e (� i ,c,�,MUs1�� C( - /�6Csbli) 4 bd�ot/ `f <br /> Business Mailing Address: 31rnO� Lh$ a'60ye - 'y y <br /> Business Type: (k9 (VEIGiiV 51 L111 <br /> Q. �d' 'vc4f Business Telephone: '5U E,' <br /> ? (°0/0,f cot e-y fa( <br /> by the following named persons: <br /> � F LL NA IE RESIDENCE <br /> 00'Ae'tn co�� Maih)-p=c. M/} ndco m <br /> Home Phone:,56 p ' V-7 4 d toy <br /> I certify 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 /> w <br /> as requu under]aw. <br /> 4l� i��b <br /> *Signauue of authorized agent *Signature of authorized agent <br /> `l? -D C/ // b b <br /> "Social Security Number(Voluntary) _ <br /> of Federal Identification Number <br /> In case of emergency <br /> NAME: G� �2r T��� G/ TELEPHONE NUMBER: <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 <br /> BARNSTABLE ss DATE O< a6108, <br /> Personally appeared before me the above-named A �'ry �,¢I�- Ccx..�' 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 years thereafter so•long as such business shall be conducted and shall lapse and be void unless o renewed. - <br /> Signed__ <br /> • ���. Deborah F. Dami Nptary Pu ie <br /> -- ' .S,EAL. n <br /> NOTARY PUBLIC <br /> Commonwealth of Massachusetts Commission Expires: <br /> My Commission Expires July 24,2009 <br />