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BUSINESS CERTIFICATE# f� ^�� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWNOFMASHPEE <br /> DATE <br /> Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned hereby <br /> declare(s) that a business under the title of <br /> Business Name/DBA: Custom Computer Corporation Name: is conducted at <br /> Business Location: 11 Dover Road <br /> Business Mailing Address: 11 Dover Road,Mashpee,MA 02649 <br /> Business Type: Computer Business Telephone: St <br /> New [ I Renewal Certificate# cr85a q/607Expiration Date <br /> Home Phone: Email Address; . <br /> ,off-c 3 6 j✓ ^aner'lC07✓icM5 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> John J.O'Neil 11 Dover Road,Mashpee MA 02649 <br /> I certify under the penalties ot`_p=jury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state taxes as <br /> require nder la <br /> ,� 1 <br /> e o authoriz *"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: /j7 r C �� L/ / TELEPHONE NUMBER: Jby J 3a,6 <br /> 11am <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 payment <br /> obligatipns. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under <br /> 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 is true. - <br /> A certificate issue in ac ordance with thissection shall be in force and effect for four years from the date of issue and shall be renewed each four <br /> years thereaft long a ' c busi ss shall be conducted and shall lapse and be void unless so renewed. <br /> Signe <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br /> ' I <br />