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\ � BUSINESS CERTIFICATE# �tl/1:10Jg <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE 3 <br /> Expiration Date: 3t3 <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 /> BusinessName/DBA: I r�� F'J�ip LL(CorporationName:T?,.-e C:1 Pky. :cni T�w_rj3e LL L <br /> is conducted at Business Location:nn/ lit�iivOn� ��E Commercial—Residential_� <br /> Business Mailing Address: .7 /�0.�lls�'.pRCfl h�4fi <br /> Business Type: ySi-,tl / 2p2��—Business Telephone: <br /> Business Phone/77y � "y�J/ Home Phon(S"V -�/ Email Address: .�UF_C <br /> l coli <br /> by the following named persons: <br /> ^ Owycr Nanre Q Owner Residence <br /> C�l1G6G �C✓ciEOai� / Gc.ivo�ii+�JP Lit,loh � /��S .PPP /y'9 <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 u <br /> "Signature o 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 fumished 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 /> BARN'STABLE ss DATE -,)0 I� <br /> Personally appeared before me the above-named PCM � U'2 1,4.* 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 /> N ary Public <br /> it Notary Public �t-2 3- -aOQ <br /> Margaret C.Santos Commission Expires: <br /> Comrntin eft of Massachusm <br /> �. W Commission Expires on Sept 22,2017 <br />