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BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE CP 41�_ / Z <br /> Expiration Date: z �� <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: Y 'fYL Cor> Awol'orlig-J Corporation Name: Cave <br /> 7�---�� <br /> is conducted at Business Location: ��� 'Ea l A" �CL4 ConanierciialL/ttesidential_ <br /> Business Mailing Address: 7 59 /22�` l20W,7� l u "t <br /> Business Type: / J l A1-1L Business Telephone: �+ 5,0 /;5?- -53 —n330 7Business Phone �_ S ?t� Hm <br /> _J ue Phone:�FY// GGIo Email Address: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> 15 <br /> i <br /> I d e en Ines of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as wired u r aw. <br /> *Si re of an orized a t '*Social Security Number(Voluntary) - <br /> • or Federal Identification Number <br /> i <br /> *This license will not be issued unless this certification is signed by applicant <br /> !� In case of emergency <br /> NAME: V '7•/ TELEPHONE NUMBER: Cel l/ ya /�fY <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 /> BARt\'STABLE ss DATE -res- SOI Z <br /> Personally appeared before me the above-named fA and made oath that the foregoing statement is <br /> true. <br /> A c rtificat rssu 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 there ter s ion .a such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed �I <br /> i otary Public <br /> C.SEAL ,/Notary Public <br /> iMargaret C.Santos 9 - :;to- Dor) <br /> • C6nrnonweftofMassachusetts Commission Expires: <br /> SKy 6ntni slon Expires on Sept.22,2017 <br />