Laserfiche WebLink
r <br /> BUSINESS CERTIFICATE#05 -- <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE ` <br /> DATE A0,lay 900 9- <br /> Expiration <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 �n <br /> /'1�W"ky �� DBA 114,+J 6r,1gAAJA�/�^� is conducted at <br /> Business Location: d y / <br /> yr AA- 'f}LM.0 uTT# K0n <br /> Business Mailing Address: 120, EibJC dq< A1,49S&d6,F, <br /> Business Type: __Aql �7L1 MBusiness Telephone: 5-6k X177 535 <br /> by the following named persons: <br /> FULL N E RESIDENCE <br /> �OWA,QDFAGNco ✓7 <br /> Home Phone: 50� K7753S� <br /> jftrtify 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 /> s as required under I <br /> *Signature of indivi 1 By: Corporate Officer <br /> ON-331�(�58 <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 <br /> Personally appeared before me the below named lh�t-UQ l-c( t p 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 /> Signed <br /> • /,\--r' �C. Santos otary ubltc <br /> AL m0PU C users % y' 222M <br /> MSSoft.24 201Q Commission Expires: <br /> Uy ri0111III�� <br />