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BUSINESS CERTIFICATE#05 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWNOFMASHPEE <br /> DATE <br /> Expiration D t :December 3l, 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 /> �1�11�lZC7ilS �tseUVFZy mlls.EUm aFepOE DBA GLADE 0011 C 'i�deta/< MUSEUM is conducted at <br /> eaD,snl d <br /> Business Location: .S77 6x/�t�7- NEC,C r��y SOu7N /YlASiI�EC /Y�1 Oare4c/ <br /> Business Mailing Address: SP411C <br /> Business Type: tla )l,' eCXk. MUSE-SEBusiness Telephone: �&De6-'539-$78d <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Home Phone: <br /> 0rtify 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 /> es as required under law. <br /> *Signature of individual By: Corporate Office—**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 thea 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 ofMassaehusetts <br /> BARNSTABLE ss /. J DATE dLY1 S <br /> Personally appeared before me the below named ZU'1L0a7 �S f/ 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 /> 17 Not4 Public Cl <br /> SEAL AAAA q <br /> ssion Expires: <br />