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-y <br /> BUSINESS CERTIFICATE# �3 1 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <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 <br /> undersigned hereby dcclare(s)that a business under the title of <br /> Business Name/DBA::6rame p I03g I Corporation Name: CT(XU'Y*L6-S;�bp- -LF" . is conducted at <br /> Business Location: 4 O bM14i, I)I &lf- � <br /> i --y <br /> Business Mailing Address: IQZS lI_e m),- <br /> 1 (L UOK) 7 7- 114 2 <br /> Business Type: GG !A �Q Business Telephone: <br /> Home Phone: (16- 1-7)4Zy- OL)C) Email Address: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> C�C3m I nZ '5l l ?PL��-V- P1Jf7 r'oAX , x <br /> Mio,haed N I .kpl 5 V PTr Iasi 1-1"Q-r o t)l T 0 b I <br /> 1 certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes as required under I• <br /> �- I—Heng 47� 3 <br /> *Signature of authorized agent "Social Security Number(Voluntary) <br /> VP-TREASURER or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> A f7 In case of emergency <br /> NAME: Ul-cei TELEPHONE NUMBER: l/c, <br /> 1-7)"1 ZLI-70b 0- <br /> Alarm Company: LhP-P-Kpzt ,+- <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have stet tax filing or tax <br /> payment obligations. Licensees who fail to comect 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 trt <br /> BARNSTABLE ss AA•� �� DATE oc� <br /> Personally appeared before a the above-named ih I(. UA^ZA-- JJ /'4M.c�C�and made oath that the foregoing statement <br /> is true. <br /> A cerufc i's <br /> Zi a rdance 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 ereafte so such business shalt be conducted and shall lapse and be void unless so ren wed. <br /> Signed <br /> Notary Public <br /> • SEAL <br /> JC SEPH L.MA Jq <br /> ontmission Eebtic <br /> /t COYM0s; en TN OF M UCXU <br /> / My Commission Expires <br /> October 25.2713 <br />