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.t BUSINESS CERTIFICATE #2o/8 ^� <br /> 46 � <br /> THF_ COMMONWEALTH OF MASSA CHVSF_TTS (yam <br /> TOIVN OF IIIASHPEE a <br /> DATE <br /> • Expiration Date: I <br /> i <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('' 7t <br /> s)�th��at a business under the title of <br /> mFYI <br /> Business Na <br /> e/DBA: �'\ 4 T)VN Corporation Name: is conducted at <br /> J a <br /> Business Location: L ps�N ,�ra^ <br /> Business n'lailing Address: 1�1�-S <br /> Business Type: km ' -b3- NcAyh usiness Telephone: <br /> Home Phone: 5bg -g2-S'(Pla3 Email Address: P (MV3F-ein a /l8 V'lf'h cov' - <br /> by the following named persons: <br /> n Owner Name n(� Owner Residence <br /> `t7t M-I��S (7(�,Y4VldAti LA-(`r,- <br /> 1 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 /> taxes as required under law. `I <br /> gnantre f authorized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> NAME: D-e-6y * TELEPHONE NUMBER:S'09 -733 - 60q <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-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 <br /> mKn <br /> Personally appeared before me the above-na <br /> ed 11 71 p lL J ,,(AAI and made oath that the foregoing statement is <br /> nue. <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 /> Signed <br /> Notary Public <br /> • SEAL <br /> Commission Expires: <br />