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BUSINESS CERTIFICATE #09-,o <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOIVN OF MASIIPEE• n DATE rt � _cx(il)9 <br /> Expiration Date: December 31, 2013 <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( <br /> s <br /> )that a business under the title of <br /> �Clp('aArra �c.p ^.,rt_o � DBA xqkWek-cle Ii (CAd, LYnMJC4 is conducted at <br /> Busines"s�L_ocation: \3 NO(ky� f)r<nc� mAStic�IP_ C:i—AIz 9 <br /> Business Mailing Address:: �� �( y c7'-- m i25hi2 c a'L'.if q <br /> Business Type: _rg—l+'-�- Business Telephone: <br /> by the following named persons: <br /> ` FULL NAME RESIDENC <br /> Home Phone: 5M T50, <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have Sled all state tax returns and paid all state <br /> taxe as required under law. <br /> 14PTuatkb of authorized agent *Signature of authorized agent <br /> LQo ac-L;tysi <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: L`IYxr\C TELEPHONE NUMBER: JScy ;l 4 `� a 41 <br /> Alarm Company: <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Ypw socia! security cumber Wil! 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 y"I y o009' <br /> Personally appeared before me the above-named 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 y�earrss�thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • f h <br /> QvMy <br /> Margaret C. Santos tart'Public <br /> NOTARY PUBLICSEAL Commonwealth of Massachusetts <br /> Commission Expires Sept.24,2010 4 a y `a-a t o <br /> Commission Expucs: <br />