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t <br /> * BUSINESS CERTIFICATE #Ati/y[,C) 6 <br /> THE COMMONWEALTH OF MASSACHUSETTS It &�_ <br /> TOWN OF MASHPEE /� ) (/ <br /> DATE 2-2Z- // <br /> Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, <br /> the undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: Frank KoMcla Electrician Corporation Name: <br /> is conducted at Business Location: 14 Trout Brook Road <br /> Commercial Residential <br /> Business Mailing Address: 14 Trout Brook Road 14 Trout Brook Road <br /> Business Type: Electrical Telephone No. 508-221-5848 <br /> New I Renews I I Home Phone: r� sg /NI'.mail Address: <br /> by the following named persons: <br /> Owner Name Own�RQsicel��JR'G- d <br /> Frank Korpeia Frank Korpela <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 <br /> • all state t as r uired, nder law <br /> LtSifnature of au rite 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 <br /> NUMBE��(7Jh <br /> Alarm Company:���G/ <br /> **Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met lar <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. "chis request is made under the authority of Massachusetts General Law. Chapter 62C.Section 49A. <br /> The Common wealllt of Massachusetts <br /> BARNSTABLE ss 1/` DATE L -an-�V <br /> Personally appeared before me the above-named FrtlA6k PW r6�D 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 from the date of issue and shall be <br /> renewed eac years,there er o long as such business shall be conducted and shall lapse an be void unless so renew d. <br /> Signe / / Notary Publi t . <br /> LINDA J.STEELE <br /> NotaryPublic <br /> - BBIdbtBNwC-AiTII-CT-tSR43aC W-0 <br /> My Commission Expires <br /> Commission Ex 're July 15,2015 <br /> Seal <br />