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R ; BUSINESS CERTIFICATE#05_4j <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OFMASHPEE <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 hereb/y declare(s)that a business under the title of J <br /> Til C�61rl/ DBACLtW L/ /. tp� is conducted at <br /> Business Location: % / ( { ) �C n^ '4 Zd AAC.(s)'\ pni AA ^� { C�c2fi �,q <br /> Business Mailing Address: <br /> W i (068 Rol AA06/) 12C e 0oZ6 5C fl <br /> Business Type: /y /n(5& 1IQ bo '1 Business Telephone: _ L50 fj' X5.3.9 ",,7 5;7, . <br /> by the following named persons: <br /> FULrI, M RESIDENCE <br /> / <br /> / rA„ZvZ I / � 9 �/('.rrn Qa� QS/IRCO <br /> Home Phone: Sce? S'39'-.25'7a <br /> I certify 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 as re kedund law. <br /> � tr <br /> Signature of individual 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 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 of Massachusetts <br /> BARNSTABLE ss -/4C'/'Z--' <br /> /�` // J) `` DATE S <br /> Personally appeared before me the below named /TTc'/� Ila r/('9 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 /> • ^--- Nota�u clic <br /> SEAL p1:1P.1 f.\L.SCOTT <br /> \a[nn Public <br /> Comnwm"c:dih of Massachusetts Commission Expires: <br /> MI G;mmission Expires <br /> Marr', ',J.2006 <br />