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BUSINESS CERTIFICATE# !n <br /> TIM COMMOAt6VEALTHOFMASSACHUSET7S <br /> 7'O IVN OF AIASHPEE <br /> DATE -7171t- o <br /> /Expiration Date: / 3 <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 /> Business Name/DBA: W I I C,4' LL l Plfs Corporation Name: is conducted at <br /> BusinessLocaHon: 1t�a A,r 0�4 D 1 �(to <br /> Business Mailing Address: ;P. n . ay 3 t7Q MQ,Sknkap. <br /> q;y�� , /•X7'77© �'7IQ�7�"•19 <br /> BusinessT,ypc:_0'0n- !S2 ftr- BusinessTelephonek5VA — — .349 'y <br /> Home Phone:699— H 4 Z 'tPlolt Z Email Address:W 11 ob U 1 I d,�i�/S(MVCA' 1 7 1) <br /> net <br /> by the following named persons: <br /> 7YY uwncXNamc/ / Z.. �4S i3eq �OS cl1 Ii ��AoU 0� �3� <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 /> taxe required under I <br /> gn of ori2ed agen **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> I <br /> In case of emergencyI <br /> NAt�fEJ1QWJ'LA4's TELEPHONE NLIMBER:SOS�— (0 (z'p '35- <br /> Alarm Company: <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-fling 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 Conrnionweahh of Massachusetts <br /> BARtNSTABLE ss I_— , ' I / DATE <br /> Personally appeared before me the above-named L/( S 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 thereafterr�so long as ssuf business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> XXXllllll (/ G�i�111 Notary Public <br /> • SEAL <br /> =ir0MM0�NMWYzz_ <br /> aJmCCHEW,J' W&Etpinas <br />