Laserfiche WebLink
BUSINESS CERTIFICATE#05 -3 Y <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <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 a business under the title of <br /> -L&* b 1144 DBA_ de M4 -s is conducted a <br /> Business Location: OK- mash "-e eq <br /> 21BusBusiness Mailing Address: 31 -blL.t/&6�& Jk I'eet 0-21(5-- <br /> Business Type: -- <br /> inessType: -- - W -!S BusinessTelephane: <br /> by the following named person'/ <br /> � I �i, �FU �NAME / SIDIExNE <br /> �� (� ,SIG 0-,7 S <br /> //-- -'7 7-7�6- ny 1 / 7 <br /> Home Phone: ( 1 / 7-6a) b <br /> Iify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> cxes s required under law. <br /> *S cure of individual B : Corporate Officer <br /> g Y tP <br /> �I-33z�3Z (0�2 <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 fumished 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 subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth ofMassachasens <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the below named UW( 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 /> Si <br /> re8f@t C.. 58fit� —� NotaryPublic <br /> SEAL " NOTARY PUBLIC Gj -a y-2o 16 <br /> _ Commonwub of Massaehusetls Commission Expires: <br /> Ny Commission Ekes Sept.24,2010 <br />