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as <br /> BUSINESS CERTIFICATE#64 - 3 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: December 31,qO)q <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> /u'�nd�ersigned hereby declare(s)tha_tIa business uund�err the title of (�-'�,r��,,n <br /> l l09MR & a. WOI(JliflC I nQ DBA 1 6>ff '—AIE!.g is conducted at <br /> Business Location: t,ffe� i�n� s 0 �1po S CZg9 <br /> Business MailingzAddrless 9V 1 Neol1Ql�._EaL�n , NU VW r <br /> Business Type: f�C)�t I Business Telephone: bsld)1�4 V- a pmaM D) <br /> by the following named persons: <br /> C/D NAM ai ) , lowL' s �,nC . RESIDENCE <br /> hkajow Pd ed i.S,n� N 7 os� 1�- <br /> Hein Phone:0 <br /> certify nd a penal[es of perjury that h to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> xes re it under) w. <br /> L'I" da T . yon e_ 1 , G <br /> ig a o By:Corporate Officer —� <br /> E/ W : 5-/ -03 (046sC) U: P. , aeherif-1 COU hS-e( + Secre�avy <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 /> r-dlSOr t Ns� DATE U <br /> Personally appeared before me the below named I 1 I I Y Q I(a, osow U 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&) 'f Mirella Rosario <br /> Notary Public,State Of New Jersey <br /> My Commission Expires P7't ?009 <br /> Notary Public <br /> SEAL r 1 <br /> gq <br /> Commission Expires: OnAKL <br /> , <br />