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BUSINESS CERTIFICATE#05_fq( <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE 5--/ f-05- <br /> Expiration <br /> -I ! -OSExpiration Date: Deceinber 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 /> ` �, / n., DBA TrV t S V I' $.p is conducted at <br /> Business Location: �j (may "C'o r-V C4— <br /> Business <br /> I- ,�q / <br /> Business Mailing Address: CJAfy ��r V Cr me& t p` ee f"I4 -7 �/ <br /> Business Type: Business Telephone: / 74 � 3 tp'3 `F'7 <br /> by the following named persons: <br /> FULL N i RESIDEN�CAE� �] <br /> � �✓l z C�`� �✓t ICI CJ �_( Crr/ CS. pe_e 10 <br /> Home Phone: 57a <br /> I <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 /> as required under law. <br /> Signature of authorized age T *Signature of authorized agent <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 subiect 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�Wgl Z14 a010 <br /> Personally appeared before me the above-named T(Vtnc C 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 ereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • Margaret C.Santos <br /> ° aNOTARY,PUBLIC Notary Public <br /> SEAL Commonwe of Massachusetts <br /> Ny ,=M1! 0fi Expires Sept.24,2010 Cj- ay- a°16 <br /> -. - Commission Expires: <br />