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BUSINESS CERTIFICATE N <br /> THE COAfAfON1VEAL TtIOFAfASSACHUSET7S <br /> TOWN'OF AIASHPEE <br /> DATE <br /> • Expiration Date: <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 bus ie and r the title of <br /> Business Nanie[DBA: � Corporation am (j <br /> Ne: C,kV"� �i v AUL (_ptlo its <br /> (�� conducted at <br /> 1/9 Business Location: Il' !( I I I C,vr <br /> r <br /> Business Mailing Address: < /✓.� a—o / W M <br /> Business Type lQI J �/� Business Telephone: <br /> Home Phone: �.� 5 Email Address: ✓( <br /> tro�o f• o�IS� COwI <br /> by the following named persons: <br /> l�p[icr l itv / Owe 2esidence r e_ <br /> A <br /> �i(�G�fQr WA OZS7!/ <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 /> taxes as required under law. <br /> nantre of authorized agent *`Social SecurityNumber(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signet) by applicant <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> MOYour social security number will be furnished to the \lassachuseus 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 authorityof Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BAI2NSTAI3LE ss DATE ,l ,rIs-'26_111 <br /> nRuA+�ft-raoN- <br /> Personally appeared before me the above-named 6-haatIn Bt•t Iwe.L 6 1,,mm rr la N and made oath that the foregoing statement is <br /> true. <br /> A certificate issued in acco nc uh this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years therea Ion su usiness shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAL <br /> • 9 <br /> '9' )01 <br /> � Notary Publir, Commission Expires: <br /> 1 �MargaretC. Santos <br /> i Commonwttaflh oI Massarnlusetts <br /> MY Commiss(on Ex ices on Sept.22,2pt 7 <br />