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BUSINESS CERTIFICATE#05 -3 5' <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • - DATE <br /> Expiration Date: December 31, 2609 <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 DD -_/ <br /> DBA I -'9 Eh-Vn, nX-CJ is conducted at <br /> Business Location: 1103 ra.0 yam'. �AJetdc2P I�AAp� 6J_wy9 <br /> Business Mailing Address: <br /> Business Type: �/�Fy� tlA ytL.p, Business Telephone: <br /> by the following named persons: <br /> FULL NAM& RESIDENCE <br /> t C vv// &-Ittc <br /> Home Phone: <br /> Aft-rtify 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 /> Wes as required under law. <br /> *Signature of ind idual By: Corp to 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 filling 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 n DATE <br /> Personally appeared before me the below named IJ Ph i a m• n jV( -npR.KAI El K and made oaththat 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 /> Signe <br /> 01 <br /> Margaret C. Santos Mtary Public S <br /> SEAL NOTARY PUBLIC <br /> Commanweahh of Massachusetts <br /> VVVVYYYYYYYP7 <br /> ONy Comm111sion Expire Sept,Q4,2010 Commission Expires: <br />