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„ BUSINESS CERTIFICATE# �/' <br /> THE COMMONWEALTH OF MASSACHUSETTS a/ <br /> TOWN OF MASHPEE <br /> DATE t '� _ <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: The Golden Paw Corporation Name: is conducted at <br /> Business Location: 22 Falmouth Road - <br /> Business Mailing Address: 22 Falmouth Road, Mashpee, MA 02649 <br /> Business Type: Doe Groomine Business Telephone: 508-477-1090 <br /> New Renewal Certificate# 2010-018 Expiration Date 12/31/2013 <br /> Home Phone: 208-394-6790 Email Address: ronda1023(k).hotmail.com <br /> by the following named persons: (� <br /> Wjc' ' Owner Name Owner Residence �2bbp0' <br /> Rhonda Crowley —P5-Ar•den'R'03U-DTrmiv-Per-t. ""e mFzo '�,e�(�l'S IV`C� U_�WB <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 /> required under law. <br /> tlure of authorized 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 <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> **Yoursocial security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or lax 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 A <br /> BARNSTABLE ss (/'1��� DATE J <br /> Personally appeared before me the above-named�OWI�- C- IUL F2 and made oath that the foregoing statement is true. <br /> A certificate issued in a• ordance with this section shall be in force and effect for our years from the date of issue and shall be renewed each four <br /> years thereafter so long as such b s ness shall be conducted and shall lapse and be void unless so renewed. <br /> Signed 1 — <br /> / <br /> tary Public <br /> SEAL <br /> o nission Expires: <br /> JOSEPH L HEW,JR. <br /> NOTARY PUBLIC <br /> OOMMONWEAL7H OF MASSACHUSETTS <br /> My Comm.Expires OcL 16,2020 <br />