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BUSINESS CERTIFICATE#05_—g-2 <br /> L <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE 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 declaree(s)-that a business under the title of Ot7W� <br /> l t� l 1 V`Sgk_�`( '� `DBA ` +prGl -e-e_AA C-1 yj J 41-,%�TC- ��is/�co�nducted at q <br /> Business Location: 3 00 1�/✓J �'�l��aAA t . {�y15 (TL.It-t �3 2' 1✓I r s kV_c& V" VIH o2&0 <br /> Business Mailing Address (`�`, YVLo�I.i1il CM1 s 111�ti _ =e.Q Pr-. CC1)77_2LZ{� <br /> Business Type: [ate Sett 4 i%)Lede Business TelePhone: Sb�-73'7— �U?aj-jUd�`17) <br /> 3 �3 <br /> by <br /> the following named persons: 44 <br /> l-.>AALL FUI,L ( n NAM _S( n c77 -)o <br /> Home Pbone: 559—1-77-3k9p1�, <br /> rtify 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 /> A <br /> equired un r]e o thorized agent *Signature of authorized agent <br /> Ct <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 1 d.X <br /> 1 , II r <br /> Personally appeared before me the above-named CG'r H Y" u S K 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 /> • a Margaret C. Sano �„ <br /> NOTARY PUBLIC `� <br /> Commonwealth of Massaehusm Notary Public <br /> SEAL my <br /> Commission Evires Sept.24,2010 _ 2(4_ ao10 <br /> Commission Expires: <br />