Laserfiche WebLink
BUSINESS CERTIFICATE# f 3^D3 <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 declare(s) that a/1business under the ttiitle of fit ' <br /> Business Name/DBA: a pel w�� ` &' yT�7� Corporation Name: e_h Yl�'OU�er C n I h P S <br /> is conducted at Business Location: lcm Ind rte be- Ojfr -10 Commer�ciialCtResidential_ <br /> Business Mailing <br /> QAddress: L9nlLS(J Nal 1 I 12eeA 0Q.(c <br /> Business Type: IrIP Ir--Business Telephone: Sp <br /> 09� 732 O k! Jo <br /> New ( J Renewal I J Home Phone: 'TO 8. � 37 al,56 Email Address: �'t� IcS �,�� � cSb�✓��. �� <br /> by the following named persons: <br /> •Cdr rt est9 wner Nam Ow�er,Residence <br /> le R. 144ASh ree A <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 under law. <br /> alt moo, '— y6 - /6) q � 6g6 <br /> ature of authorized agen "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 -7 <br /> NAME: C <br /> EI/ Gi Loll. > / 1 s TELEPHONE NUMBER: <br /> Alarm Company: <br /> a <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 ofMassachasetts <br /> BARNSTABLE ss DATE t <br /> Personally appeared before me the above-named /�/� 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 /> • Not - <br /> SEAL �, JOSEPH L.WOU00HELU.J , <br /> le— <br /> wss�enus <br /> Ay conmuum Erires <br /> 000 25.201& <br />