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BUSINESS CERTIFICATE#0554 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF MASHPEE DATE 3 Expiration Date: December 31, 2009 In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned hereby declare(s)that a business under the title of D l5'I l N cit v(-S_ G vtt_0`E:lL.f LCC DBA - is conducted at Business Location: 309 S FA 14 w t c ii 27 YLI p S H-P t y4t q C,2G ¢4 Business Mailing Address: /31 /J Business Type: Business Telephone: -:t 55 o ' 9-4 f 9 by the following named persons: FULL NAME RESIDENCE S`T-Zf:NrZ 2e:-PPV<.ct SoM� nr /J .4n✓` 12o=:gezcn /—,r—fPv « t Home Phone: 0rtify under a penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state es as requir d der law. *Signature of authorized agent *S' n re of aut or agent Z419 ( S **Social Security Number(Voluntary) or Federal Identification Number *This license will not be issued unless this certification is signed by applicant **Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. - The Commonwealth of Massachusetts BARNSTABLE ss DATE �—� ) � 6 S Personally appeared before me the above-named �QQCQ YJ�],Ul�',(, and made oath that the foregoing statement is true. 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 each four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. Signed • o Deborah F. Dani Notary Public NOTARY PUBLIC SEAL , - Oom'""ahh of hlassachuse t6 MYC0MM'S8t011E*r0SJuly24,2009 Commission Expires: