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' BUSINESS CERTIFICATE#05-L�Da. <br /> THE COMMONWEALTH <br /> OF V ASSACHUSETTS <br /> • EE <br /> DATE <br /> Expiration Date: December 31, 2009 <br /> tion five of the General Laws, as amended, the <br /> In conformity with the provisions of Chapter one hundred and ten, Sec <br /> undersigned hereby declare(s)that a business under the title of _ r /� jq C_ FU-t ?fLS,7Ss conducted at <br /> DBA <br /> S' <br /> 13tal� kv��� d MAS C:.c SIA O ��e45 <br /> Business Location: !X OL-D �7 <br /> Business Mailing Address: f/'M1z 6 S /9 6 U <br /> Business TypefJL q. A3v'`a4nq Business Telephone: <br /> by the following named persons: <br /> SIDENCE <br /> FULL NAME5 AMr, N-S 92kow r <br /> GE 4ALO IL4, SGk t,"/"Z /_ <br /> 77 "3 a 3 5 <br /> Home Phone—PNWTf �u$-y <br /> �rtify under the penalties of perjury that I, to the best of my knowledge and belie ave' ed�all stat tax returns and paid all state <br /> r r uir r im. <br /> By: Corporate Officer <br /> *Signature of individual- /r <br /> **Social Security Numbll be in force and effect for four years from the <br /> er(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certil-ication is signed by applicant <br /> **Your social security number will be famished 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 sub'ect to license sus ension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth ofMassa chusetts DATE <br /> BARNSTABLE ss r <br /> Personally appeared before me the below named f <br /> 11 }`,l S'Is�n Ar Q and made oath th a foregoing statement is <br /> ed <br /> true. <br /> A c 'ficate issued in accordance with this section shall date of issue and shall be renew <br /> each fo years th ong ass h bus ess shall be conducted and shall lapse and be void unless so renewed. <br /> S' ed <br /> t <br /> ' Deborah F. Demi Notary Public <br /> SEAL °��iiyy NOTARY PUBUC <br /> llfd cpMont aft of(y mouaft Commission Expires: <br /> 1 <br /> tW�YI My CommiWon E0119S J*24.2M9 <br />