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n <br /> * ° BUSINESS CERTIFICATE#08 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE <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 /> ;'.(� n Lo DBA 5 e lam. Co✓> I.QL' f 10-C is conducted at <br /> Business Location: AT)U-r-, ,1 f_Q.� r VYV C 5ko irn A <br /> Business Mailing Address: ��5 DC4 JA 0 LLC>:,.; Tulle, M ct sk-p'ee- ✓r A <br /> Business Type:,4avtda"F•� ,�t Business Telephone: 7 " �33� <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> �limts�L C'_u�-� 2P�co �'SDrt� Nollory Lw <br /> Home Phone5©$'3i0W R32iS MaSl1f��� MA OZlv`��f <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 /> xes re r 2dunder la/w. � <br /> *Yl�grz#ffirrof authorized agent *Signanre of authorized agent _ <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME'j ,5, ,,E {-IZe C:,o TELEPHONE NUMBER:5CA-"Cv4fFf" l S <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 ,sf tt n DATE <br /> Personally appeared before me the above-namedQ\ CAS` X�41e-CO 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 rs thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Sig nedWCKIANNOOVONI <br /> Notary Public <br /> nF MASSACKUsEr►9 <br /> ' `�plcn E>�rea <br /> SEAL juiy 19.2019 <br /> Commission Expires: <br />