Laserfiche WebLink
yf J <br /> BUSINESS CERTIFICATE# lojz�b <br /> THE COMMONIVEALTH OF MASSACHUSETTS <br /> TO INV OF MASIIPEE <br /> DATE <br /> Expiration Date: December 31, 2014 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby de�clare(s) that a business under the title of ,/ / /1 <br /> JOl AICD /y�7/14/S'O/I/ DBA Z�)goaj/��/h// 1A1J,f/G ( 0, is conducted at <br /> BusinessLocalion: L,I k)ILR?AJ41 OeOl'_9'D � aD <br /> Ge P_ �I/// ��q <br /> Business Mailing Address: 21 l�J�r✓N/ OIC/) �QJr'; � !JG '49 <br /> Business ` <br /> "1'ypc:/!iJ/J�/G / �. �.1Li/s'I9 Business Telephone: <br /> Home Phone:SM, <br /> by the following named persons: <br /> FUL ME RESIDEN <br /> 6a,� L 2 / a//z_,91L1.1 a.�y, WL O lyxm AL� <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 /> 642 <br /> r law. <br /> *Signatu of author ed agenignature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> ���� � � / In case of emergency <br /> NAME:. 7011/✓ x,,74 r KfOA TELEPHONE NUMBER: ✓��—Z7�-7�J`t� <br /> Alarm Company: <br /> *This license will not be issued unless this certification is signet) 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 subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A: <br /> The Commonwealth ofKassachuserrs <br /> BrIIL\'STABLE ss DATE iZ <br /> Personally appeared before me the above-named (//��. �1R"t( S��I./ 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 t e s[tch business shall be conducted and shall lapse and be void unless o renewed. <br /> Signed <br /> • J PH Lr <br /> SEAL Notary Public <br /> i ootwortwEurtt of wAstutcH <br /> '�{1 -xpires: <br />