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1 ' <br /> BUSINESS CERTIFICATE#05=� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration DateVecember 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 /> DBA �� VUI I�pi1/ U2"is conducted at <br /> Business Location: <br /> pp t <br /> Business Mailing Address: 'A-1k N W YX 1M <br /> Business Type: C6 t\ �` U� � U r t Business Telephone: <br /> by the following named persons: <br /> FULL NAM RE DENC <br /> �,� q 1 � <br /> VY1 k' t �2 <br /> Home Phone: J ti <br /> O'ify er t e nalties of p jury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as ire law. <br /> *Sig a e f authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> * issued unless this certification is signed b applicant <br /> This license will not be g Y PP <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 rr DATE S 960 <br /> Personally appeared before me the above-named"�Q-yM1S r, and made oath that the fo going 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 y thereea ng as such usiness shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> 0014'Collftission <br /> Margaret C. SantosNOTARY PUBLIC Notary Public <br /> Commonwealth of MassachusettsSEAL Expires Sept.24,2010 �' ap(- <br /> Commission Expires: <br />