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BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE a a a01a <br /> Expiration Date: J <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> ersigned hereby declare(s) that a business under the title of <br /> Business Name/DBA: SOUPE'j )�M1mprwe ,n <br /> ,mek Corporation Name: <br /> is conducted at Business Location: / C\Oyyye' 1 Commercial—Residential Y <br /> Business Mailing Address: 3N Cn.Q0.tn16�& 9,a I I M IQ 6012.P 1 1 M lQ Q,q Ok <br /> Business Type: -wem f Business Telephone: —1.14 08' ( S-3a .. <br /> Business Phone Home Phone: SDD Sag ?7/0 Email Address: C��l`f�'t��C.�Ob�"�tt@ <br /> SoclreShvrne imPCo/e(1lev��, <br /> by the following named persons: C'>r'" <br /> Owner Name Owner Resit ence <br /> Chr�S+aohec S, o►>er , 31 (�W ma bzle'049 <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 /> es s required under la. <br /> gnature of a orized 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: 524 0-nN (' S,�nS TELEPHONE NUMBER: S Og ya3 oaSB <br /> I <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 Common ivealtk of Massachusetts /2' 7 <br /> BAIL\STABLE ss / --- DATE� a / 7� <br /> Personally appeared before me the above-named C A( 5na he-f 'S- Q(30tZD"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 y ars ereatter so long as;sy <br /> ph business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAL <br /> • JOWNotary Pubsc , <br /> ` COMMONWEALTH OF MASSA <br /> dA18 <br /> My C mmissw Expires <br /> October 23.2013 <br />