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BUSINESS CERTIFICATE#05Z <br /> r <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE J .r UA7 <br /> Expiration nate: 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(sy that a business under the title of �i <br /> l/yti�12 �ifh/PN17dPL ��p DBA( S(//N�JS A/2/�//F/ht� CrPl /is conducted at <br /> Business Location: 3 L)�2C� /563if ,' O / <br /> Business Mailing Address: <br /> Business Type: Business Telephone: TSF_—36 d/-6646 <br /> by the following named persons: <br /> RESIDE <br /> l�Ayi/� /�`/1FiCs NLyfl1/�iLl7C3rL �� ��CJLt,F��N�YLCLC` <br /> Home Phone: <br /> rtify under the tie p/ to the st of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as r red and w. <br /> * 1 indivrdua By:Corporate Officer <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 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 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 i <br /> BARNSTABLE ss � / /L-� p 'I DATE ( //3 )653 <br /> Personally appeared before me the below named J)tqy/Gt yen c('Qt/OaYnd�made oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this sect, shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years thereafter uch b ess shat <br /> s rgassducted and shall lapse and be void unless so renewed. <br /> Signe <br /> MARITA L.SCOI T <br /> -Notary Pfiblic <br /> SEAL Notan Public �� <br /> Commomccalchot%tassachuscris 3/ <br /> My Commission 8xpires Commission Expires: <br /> Dtarch-,12006 <br />