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-,i <br /> " BUSINESS CERTIFICATE#08 —0 <br /> y <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 /> � u <br /> hvi6 m. t�IACA7(( t DBA <br /> Calls Fmm I10_/L�Q is conducted at <br /> Business Location: / O 1,(�� .�✓'�iS/�I�IIA� ��- �le ��0.474' fP <br /> Business Mailing,Address: <br /> Business Type: Mf-t 5 / C%p",O ) Business Telephone: (203 2.IG:.-V9 1 <br /> by the following named persons: <br /> FULL <br /> 1 RESIDENCE nn_ A (] <br /> ngCUNAME <br /> I� �R1��.50e Age r S" pet 1 <br /> Home Phone: <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 /> es 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 <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 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 ojMassachusetts <br /> BARNSTABLE ss DATE 3-/G aCG� <br /> Personally appeared before me the above-named t,�,yr�� [CCle 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 so renewed. <br /> ed <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br />