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13USINESS CURTIFICATE 9 IU-. "1 a <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO IIIN OF MAS11PEE <br /> • <br /> DATE 41, _._. <br /> F.xpirntion Dity P!•11111 )PP -3 1 20 14 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undcrsieued hereby declare(s) tthhaat/a business under the title of <br /> -- - Z&UR70AJ / 1 at/ 614AJ J, / /� D13A /�e6*,-5-er,rfl_7���j/��1J�1 G�R(E�17 S�jj(/�C�mducled at <br /> Business Location: 7A' OyVLVA1-166 4VyC-2 /fr,�.451/ �0a, /q_v/6 0.X q � -------. <br /> Business Mailing Address: � � . (5oX S-S� '—C r7 sfn��-j_ (A 0-,gy5 — ----,— <br /> Business'I'rpe:a( �S'�f>'7�- ' LAS��GCJ'tti^'� Business reicphone:—jbY 63,9 '3lyD --` <br /> Home Phone: 9,pC- <br /> by the Billowing namled persons: 7SIP' <br /> _�U/19C>/1LtLJif/ 7fl /yv ICE(nc/Ql��, "1454�IL* 61GV.�) <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have tiled all state tax returns and paid all state <br /> taxes: qutrcd d 1 <br /> .Signanur d gent `Signature of authorized agent <br /> ao - s 7s- <br /> "Social Security Number(Voluntary) <br /> or Federal Identification\lumber <br /> In case of emergency <br /> NAiMI-: �c.9/d !qPe,4AJ TELEPHONE NIUMBER:607 977 770f. <br /> A larm Company: �VOdI9 <br /> '""Phis license will not be issued unless this certification is signed by applicant <br /> "Your social security number will be furnished to file Massachusens Department of Revcnue to determine whether you have met tax Jilin, or tax <br /> petyntent obligations. Licensees who fail to correct their non-fling or delinquency will be subiect to license susucnsion or revocation. This request <br /> Is made under the amhority of Nlassachusetts General Law.Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts I;:\usr:�Bl.'1= $, DATEm� Is��(zxj <br /> 14rsonally❑ppcarttl before ntr file❑hovo-nantetl (/fC7o� '/rP�}� and made oath that the tiaccoing sf:uement 1s <br /> title. <br /> :\ mniticaw issued in accordance with this section Shall be in force and cficct for four veer n h•da • o issue :md shall he rcncocd <br />! tach ti,vr ae:vs fhcrcdter so long as such business shall be conducted and shall lapse anti be void unles so rcwc VICKI ANN GOVJM <br /> t <br /> WC <br /> LTH O Public <br /> giled rt . OMMONWEILLTH OF Mq$$A <br /> l-� My COmmissim� <br /> J 19.2013. . u t Ic <br /> SG:\1_ <br /> Commission I .xpires: <br />