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2014_001
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Last modified
11/17/2016 3:11:02 PM
Creation date
11/13/2016 10:16:45 PM
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Box 038
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BUSINESS CERTIFICATE # ftp <br /> THE COMMONWEALTH OF MASSACHUSETTS f I l4,l/q <br /> TOWN OF MASHPEE <br /> DATE / (/O <br /> Expiration Date: <br /> 46- <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, t e undersigned hereby <br /> declare(s)that a business under the title of <br /> Business Name/DBA: Day Sign Company Corporation Name: is conducted at <br /> Business Location: 4 Cappawack Road <br /> Business Mailing Address: 4 Cappawack Road, Mashpee, MA 02649 <br /> Business Type: Sign Company Business Telephone: 508-477-5236 <br /> New Renewal Certificate# 2010-005 Expiration Date 12/31/2013 <br /> Home Phone: 508-477-5236 Email Address: days ignsOverizon.net <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Michael Day 4 Cappawack 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 /> required under law. <br /> ri� �g9 <br /> lure of au orize gent "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 /> **Your social security number will be furnished 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 f A// f f <br /> Personally appeared before me the above-named and made oath that the foregoing statement is 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 each four <br /> years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAL <br /> • Commission Expires:' <br /> AZ�1. JOSEPH L MAllIICOHEW,JR. <br /> . LIC <br /> CoMµp1wEDL1H OF mASSACHUSETT6 <br /> My Comm.Expires CaL 16,2020 <br />
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