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rq <br /> BUSINESS CERTIFICATE#05:� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE /&✓/3 <br /> Expiration Date: December 31, 2008 <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 /> —`LJ`ieEL/ m DBA 6,4�/_/_/ /et/rJiiJG is conducted at <br /> Business Location, � zC✓GI /�/��/hON✓�✓��Dyr ��J e eV4 <br /> Business Mailing Address: <br /> Business Type: /j�t/G/9 ��4i�/�/iit� Business Telephone: '/�'s <br /> by the following named persons: <br /> NAM 11 RAS NC �y <br /> F� N(.yOf.Ro E <br /> Home Phone: t��� 77 s✓✓� - <br /> rjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> IRP7 <br /> -- 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 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 DATE—& <br /> Personally appeared before me the below named AIVA6.4 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 fouryears thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> l <br /> Signed <br /> e <br /> Deb"h F. Demi <br /> NOj/;fRY PUBUCNotary Public <br /> SEAL _ . - weootww;Sh11 <br /> *C0Mg11i5111011E4ires J0ly24,2W Commission Expires: <br /> Fr <br /> i <br />