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BUSINESS CERTIFICATE#05 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <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 " =conducted <br /> qe e —. � E' ( �'e DBAI �WY)pe�71\e ap�gL 1at <br /> Business Locatio : M0.ShPU Q tr'UPt��� :VL0Lp FakiMQ�M� t.lV4t. , nYl� c I <br /> Business Mailing Address:ILQ� �—��YEA G�l`�h I�—� Ll.in 1'� A� 1 ` jM kPU�KAA U�P:49 <br /> T net-a.?e l.d"C SDFS- q 4 <br /> Business Type: �.JWSS SGe Business Telephone: <br /> by the following named persons: <br /> 1 t cG�QF t I'1 eyy-e t'1nC>VC2�D k�a <br /> Home Phone: `l5 <br /> rti under the penalties of erjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es req ed unde aw. <br /> *Mgnatuk of authorize agent *Signature of authorized agent <br /> OtS- <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 famished 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 S a°OS <br /> Personally appeared before me the above-named L.cA P T�- Cr'r a 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 /> • Margaret C. Santos �� c <br /> SEAL <br /> ° , NOTARY PUBLIC a y Public <br /> Commonwealth of Massachusetts <br /> my Commission Expires Sept.24,2010 Cormnission Expires: <br />