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BUSINESS CERTIFICATE#05 �I S <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OFMASHPEE � � <br /> • DATE ddam- O`J <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 /> CC'/11S)A heC� l)CC �' <br /> F11y DBA I tit l J�`� s conducted at <br /> Business Location: I0 <br /> Business Mailing Address: R0 , C� c�S 7 q 7 j <br /> Business Type: sf\f�'[&S (-�� ��E'��'P� Business Telephone: , S2/ — /0// <br /> by the following named persons: <br /> "}"� ULL N RESIDENCE {� <br /> � SG <br /> Home Phone: '1177— <br /> 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 required under law. / <br /> L <br /> S o aiure 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 /> oaunent obligations. Licen sees who fail to rorrect their non-filing or delinquency will he subieet 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 p r <br /> BARNSTABLE ss DATE L-P,� <br /> Personally appeared before me the below named and made oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this section shall be in force and effee 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 e <br /> &n <br /> ,, - --• pebOfeh F. Demiata ublic <br /> SEAL ° y NOTARY WBLIC <br /> mm <br /> 1 coomxeam of Massachuseds <br /> ' My COmml�Ien Ey"i 24,2009 n Expires: <br />