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BUSINESS CERTIFICATE# 7, / �e <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWA'OF MASHPEE <br /> DATE B r2, <br /> Expiration Date: 3 t / <br /> in conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declaree(�(s) that a business under the title of <br /> Business Name7DBA: % ,je Corporation Na-/me: 2 �i /��✓Sit.O� 7/xi�4 y (fie; <br /> is conducted at Business Location:: (Q Ji v0221 °� � /y/_ *e a Commercial_Residential_X <br /> Business Mailing Address: <br /> AQvATi c �Sd�> 3(0© � (003 Z <br /> Business Typc:"� ,4'a02/-s�p Business Telephone: <br /> Business Phone( )360-(od3 Z Home Phone: Email Address'/ SOyE (_/A F" <br /> Dow C.4st. A167- <br /> by <br /> 167-by the following named persons: <br /> Owner Name Owner Residence <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 /> *Signature—of 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: TELEPHONE NUMBER: <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 3" " �)LO I a <br /> Personally appeared before me the above-named—A fn 4 SG u eA i 4 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 thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> �mcum ..t <br /> otary Public <br /> [fz SEAIIJotary Public <br /> Margaret C. Santosl;(rvalnnWB�ldl of Massachusetts Commission Expires: <br /> y.Ccrnluissinn''Ezpims on Sept.22,2017 <br />