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2008
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Last modified
11/11/2017 3:50:23 AM
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11/13/2016 10:16:27 PM
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Box 037
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s � <br /> ! BUSINESS CERTIFICATE#08 — <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> 0 TOWN OF MASHPEE <br /> DATE o2-6? `l-024d�.�. <br /> Expiration Date: DeCeinber 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 render the title of <br /> Tili r DBA is conducted at <br /> Business Location: /\/ S <br /> Business Mailing Address: /;Dr� Iveen ah <br /> Business Type: Left,, P3 Ayll Business Telephone: 5/3- 420 -7R/- e2i 2 q <br /> by the following named persons: <br /> FI L ME RIDE CE <br /> 02( <br /> Al 7 <br /> Home Phone: <br /> � <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 /> es as required under law. <br /> vin P__N I� ylirl kg me r <br /> *Si nature of authorized agent *Signature of authorized agent <br /> ©2(e—a b-ig a 5 / <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> - In case of emergency c� <br /> NAME: 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 cor ect 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 ` c^ DATE ar <br /> Personally appeared before me the above-name 4 i /9 7 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 Ion as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Deborah F. Dami Notary PublicSEAL ` NOTARY PUBLIC <br /> Commonwealth of Massachusetts <br /> My Commission Expires July 24,2009 Commission Expires: <br />
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