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I17r ' <br /> BUSINESS CERTIFICATE.#08_7:_0 <br /> 7HE COMMONWEALTH OF MASSACHUSETTS <br /> • TO NIN OF MASHPEE <br /> DATE 3 - 6 - 08 <br /> Expiration Date: December 31, 2012 <br /> In conforrinty 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 /> e/iQE eoD CONVC-NTi0it06l7T&iZ DBA 17/fAMUN0 R+z/l1 ESTATE is conducted at <br /> Business Location: tOO GREAT ► bele i2) NORTH MA- HPEE- HA <br /> Business Mailing Address: IOd t, R&AT N&cI-2 PD Nc)(LTf/ htiASHFEE MA <br /> Business Type: X26 6 L &s EA T£ Business Telephone: 509- Q-77 - <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> 2lCrtAQD 1-1AIeERTI t0O GRA/�T N�cK iZD Mof21t1 Plrlstl�CF Mil <br /> HoinePhore: S08 - 477 -6006 <br /> Allcertify 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 /> *Signature of authorized agen *Signature of authorized agent <br /> 02,7 - 32 - 6394- <br /> **SocialSecurity Number(Voluntary) <br /> m Federal Identification Number <br /> In case of emergency <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 correct their non-filing m delinquency will be subject to license suspension or revocation. This request <br /> is made under the authority of Massachusetts Gencra] Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named and made oath that the foregoing statement is <br /> nue. <br /> A certificate issued in accordance with this section shall be in force and effect for four years horn 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 so renewed. <br /> �ned , <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br />