Laserfiche WebLink
BUSINESS CERTIFICATE#05=tcC <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE t� ta0U1! <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 declare(s)that a business under the title of <br /> -4, 9th DBA is conducted at <br /> Business Location:- F}5 �7�i L-�= �nl'>7 L"tQ`7 �- <br /> Business Mailing Address: P.U . t� 0 X /5 �/ /yt AS f1-P c_c=-t�(�,A- i7� <br /> T <br /> Business Type: 4,- -J.a ; [ Business Telephone: 5-Z?.F— ,S—? <br /> by the following named persons: <br /> —y— FULL NA�YME /f RESIDENCE <br /> S <br /> l <br /> oast3 <br /> Home Phone: 5-D <br /> ^ertify 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 /> s as required under law. <br /> * ature of indivt ual By: Corporate Officer <br /> a2-1nOAW3u <br /> **Social Security Number(Voluntary) <br /> ederal 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 obligatinns. Licensees who fail to cnrrert their non-61ing cr de!inquency;-.ill be su'LF to lice:,,se suspension nr:woce4i�n. '^:is request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49.4. <br /> The Commonwealth of Massachusetts BARNSTABLE ss DATE <br /> Personally appeared before me the below named . �AAk� Q00'QC S 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 /> Notary Public <br /> SEAL Q WVi <br /> Margaret C. Sant NOTARY PUBLIC �l -� D IC) <br /> Com-monwialth of Massachuseds Commission Expires: <br /> Ny Col Wdisiop EvIrra Sept 24,2010 <br />