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v` •• BUSINESS CERTIFICATE#05 —o? <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 <br /> i� �rIL1Gk VJ o9 (J�� DBA_�t� l /1, //L(J jI W q� /r �� leis conducted at <br /> Business Location: 3�0 /9//17 A U/)- AR 11iJ /g <br /> Business Mailing Address: <br /> Business Type: C A 57? c Business Telephone: 77Y—— �Y) <br /> by the following named persons: J <br /> FULL NAME RESIDENCE <br /> S�/rI <br /> Home Phone: S Q f <br /> i <br /> efy fyunder 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 s required under law. - <br /> azure of individual By: Corporate Officer <br /> ap,6-, �6 - � 61 <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 /- 6 -06— <br /> Personally appeared before me the below named);f t'Ct of%Ck Q QFjXQGU and made oath that the foregoing statement is <br /> true. I <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 /> n Margaret C. Santos Nota Pu lic <br /> SEAL �' NOTARY PUBLIC <br /> VV�YYiii =Mc tweam of msaek"M <br /> 9- <br /> Yp CO 08ft011 Elty=SOpL 24,M00 Commission Expires: <br /> 4-l � <br />