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BUSINESS CERTIFICATE # <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE DATE <br /> Expiration Date: 3l )l <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: Cape Cod Ashpalt Paving Corporation Name: is conducted at <br /> Business Location: 556 Cotuit Road <br /> Business Mailing Address: PO Box 1440, Mashpee, MA 02649 <br /> Business Type:- Driveway-Construction Business Telephone: 508-477-1457 <br /> New I I Renewal I V1 Certificate# 2010-020 Expiration Date 13/31/2013 <br /> Home Phone: 508-477-1457 Email Address: L V' (f- K ( Q. Co Q O <br /> L a r>7 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Robert Oliveria 556 Cotuit Road, Mashpee, MA 02649 <br /> 1 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 taxes as <br /> re tired under w. <br /> Wank9ecfauthorized 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 ral <br /> NAME: TELEPHONE NUMBER:65 V '- q - O q q <br /> Alarm Company: <br /> ""Your social security number will be fumishcd to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment <br /> obligations. 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 r <br /> Personally appeared before me the above-named_f 17 {- / ✓ 1=_ 14 d and made oath that the foregoing statement is true. <br /> A certificate issued in accordance with this section shall in force and effect for four years from the date of issue and shall be renewed each four <br /> years thereafter so long as such busing hall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAT. <br /> JOSEPH LMAaUCCHEW,JR Commission Expires: <br /> NOTARY PUBLIC <br /> a&/MT l of etnssa &Wrri; <br /> Oy Comm E*Ires OCL 16,2020 <br />