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2012
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Last modified
11/17/2016 3:11:02 PM
Creation date
11/13/2016 10:16:37 PM
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Box 038
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.�: ✓ BUSINESS CERTIFICATE# 2e) <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> • Expiration Date: 31-31 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby mdeclare(s)that,a business under the title of /� /, <br /> Business Nae/DBA://v�/G/�s/✓���rporation Name: :l Cl✓GGA is conducted at <br /> Business Location: �� f���� S� /yl/��/✓F�� /yl/t7 �O?li �// <br /> Business Mailing Address:,2? <br /> Business Type: �Oili� �LG/t////G�� Business Telephone: �aC� <br /> Home Phone: 5d1 Email Address: <br /> by the following named persons: <br /> er //l6STd/-� G S/✓�E� �4XdD,L'�'i.� /�/✓S/✓y��-� <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 /> tax as r gmred der law <br /> . <br /> store of u onzed 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 /> TELEPHONE NUMBER: <br /> Alarm Company: '</Ilf <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 <br /> request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Mas achusetts -_3 /^ 2 <br /> BARNSTABLE ss b ec ��4n DATE b <br /> Personally appeared before me the above-named ( 1 1 and made oath that the foregoing statement <br /> is 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 there <br /> er so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed G !zkJAMES VACCH <br /> Notary PUbIi <br /> �.0 nF Mn.NwpqtFtuWioion SEAL November 30, <br /> • Commission Expires: <br />
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