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v7 <br /> BUSINESS CERTIFICATE n <br /> TOWN OF MASHPEE 1 <br /> . Date: 113 <br /> Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as <br /> amended, the undersigned hereby declares) that a business under the title of <br /> Business Name/DBA: Savatree &Sava Lawn Corporation Name: 2WGlh2� �QJ <br /> is conducted at Business Location: 90 Echo Road <br /> Business Type: Tree <br /> New [ ] Renewal [%A--Commercial [ ] Residential [ ] Email Address: .� OCd//GLIF/PQ. <br /> Business Mailing Address: 550 Bedford Road Bedford Hills, NY 10507 <br /> Business Telephone: 508-539-8723 Home [ ] Cell [ ] Phone: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> .55o <br /> certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> II state tare re un�tc Cr law. <br /> w� i9 - 3Z.5 -7y <br /> *Signature of authorized agent **Social Security Number(Voluntary) <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification Number' <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax <br /> filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or <br /> revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE, ss y� DATE <br /> Personally appeared before me the above-named ( YV /Q ti and made oath that the foregoing <br /> statement is true. <br /> A certificate issued in accordance with this section shall be in force and effect for four years fr, the date of issue and shall be <br /> renewed each to hereafter so long as such business shall be conducted and shall lapse and be voi Fess so renewed. <br /> Signed /C Notary Public <br /> Commission E <br /> JOSEPH LMAllUCCHcW,JR. <br /> NOTARY PUBLIC <br /> OOMMOf WEXTH OF MASSACHUSETTS <br /> My Comm.Expires OcL 16,2020 <br />