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• <br /> BUSINESS CERTIFICATE#05_60 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE��C_ AR ` 00 <br /> Expiration Date: December 31, 2009 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declare(s)that a business under the title of <br /> t� me COWt 't <br /> O t1 S <br /> Robin 4 e DBA � � is conducted at <br /> Business Location: 2Z. aze- AIIA <br /> Business Mailing Address: r ' �� ( Cy ,X lei is r e11 P,, Pq M C ) <br /> / y 9 <br /> Business Type: 0` 9-1C L Business Telephone: 5o R - `f-1 I - <br /> by the following natned persons:' <br /> 1J1 FULL NAME RESIDENCE <br /> r1UMP / a'JM�+�G3 <br /> n_( "' I eSri�4 <br /> Home Phone: 5og- j7-7 - fS - <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 all state <br /> es as Lequired under I <br /> JJ � <br /> S <br /> *Signature of individual By: Corporate Officer <br /> C) +-6 - 349 - 0l5 <br /> **Social Security Number.(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE 3 1 o +( 05 <br /> Personally appeared before me the below named f\0 and made oath that the foregoing statement is <br /> 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 <br /> each four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. _ <br /> Signe <br /> �S <br /> • <br /> SFr .Margaret.C:'SantOS Notary Public <br /> ° NOTARY`PUBLIC g ak -aOID <br /> 'Comt11D11V eab At ssac 2010 Commission Expires: <br /> Ny Commission E*m <br />