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BUSINESS CERTIFICATE# S20 13 O <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE J- 42- )3 <br /> Expiration Date: ' 131 111 <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 /> oness Name/DBA: i3owr' s{?��Corporation Name: LNRR CURS is conducted at <br /> ursiness Location: 0159, Shoff, Rd . Machaap, (AA oabyq <br /> Business Mailing Address: PA 800, J15(p Waaooit MA oa&y9 <br /> Business Type: Re Sfayfi of Business Telephone:: 509-539-161)q <br /> Home Phone: 508- t/17- 51150 Email Address: bobA'A421-4LwbLLI CDM <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> RobeRf Mees Sty Inwdowbroole ted, / gApieelmA o2w <br /> I under the peva ies of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> s req ' u er w. /J <br /> ure of a on ed agent **Social Security Number(Voluntary) <br /> r ) <br /> or Federal Identification Number <br /> 'This license will not be issued unless this certification is signed by applicant <br /> 1 In case of emergency <br /> NAME: RoLPR//'���-n�W,ee-KeS TELEPHONE NUMBER: 502- Y77 545 <br /> Alarm Coml�y:_r7I46ff_7 r W 5/79/4Nd <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 Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named and made oath that the foregoing statement <br /> is we. <br /> O' cate in a dance with this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each foo ng such b iness shall be conducted and shall lapse and be void unless so renewed. <br /> ed <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br />