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BUSINESS CERTIFICATE#05 - 3 V <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OFMASHPEE <br /> DATE DES-- 7, ZY)d t_I <br /> Expiration Date: December 31, 27009 <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 /> M1pt«�� EArF>eP DBA:]))E— �� QFQMj= is conducted at <br /> Business Location: �\T n <br /> Business Mailing Address: y e 1� (o I t ^ Q b 4.9 <br /> Business Type:/tAQkS-j -SQA Business Telephone: _ 4ri /_ n1 9 <br /> by the following named persons: <br /> FUL NAINaFIDENCE <br /> �mrc gt JIyrt+2 <br /> Home PhoneuE�<D'� —Alft <br /> rtify 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 /> s aSrcqu ired <br /> underunder la_ <br /> ZSL <br /> 4'Vgn* 'gnature of individual B : orpo ate Officer <br /> O4 . 34g119a <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 subiect to license suspension or revocation. This request <br /> is made nnder the authority of Massachusetts General Law,Chanter 62C,Section 49A, <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the below named J Osoe_1\ t AMb r )°c 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 /> - <br /> each four years thereafter so long as such business shall.be conducted and shall lapse and be void unless so renewed. <br /> Signed �fZ <br /> JMWPW C. Santos <br /> —Notary Public <br /> SEAL - NOTARYPU13UC <br /> CaRmawrdlm <br /> 011 - aN - a'e o <br /> �' � Commission Expires: <br />