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BUSINESS CERTIFICATE#05-31 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWNOFMASHPEE <br /> DATE �— <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 ra business under the title of <br /> Ih <br /> �i1 ( ��IG IC11brll DBA `� n(tis conducted <br /> at <br /> Business Location: T-f JP <br /> Business Mailing Ad�ddress:'�2/n �/177 I /f���Jy����/ /Y / }� �/ <br /> Business Type: CIFA /G{( — /i`�`§ /6 Business Telephone: 5 b7�� <br /> by the <br /> following named persons: <br /> j91� U G� FULL NrsL 9 G/�1� /�•4l I,�� /�/ <br /> _ W&x <br /> Home Phone: <br /> 41c <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 /> es required under la <br /> *Signature of incividua 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 J//�/ 1�L DATE <br /> ,(l' <br /> Personally appeared before me the below named I Q I Q�V I�,t' 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 /> �- Deborah F. Dam <br /> NOTARY PUBLIC Notary P blit <br /> SEAL VYrc <br /> comltlommmutth of M2 <br /> My C EOM Jtlly 24,�" - Commission Expires: <br />