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BUSINESS CERTIFICATE#06 -S 7 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE 9 In l /b„ <br /> DATE t <br /> Expiration Date:DCCember 31, 2010 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> an��J,t <br /> igned hereby declare s)that as business under the title of f- /� (` y— <br /> .nY14' /( DBA �f�.{ _y�-/�/ / JJ 5�� / Conducted at <br /> Business Location: P� <br /> Business Mailing Address: <br /> Business Type Business Telephone:6tk (��� <br /> by the following named persons: <br /> ErIC <br /> Jw <br /> Home Phone: <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 /> s as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> �_y�// /� / /-7j In case of emergency <br /> NAME:���I”%�!!EJ ^ `fin 71— TELEPHONE NUMBER:no S. <br /> Alarm Company: , <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 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 ssII DATE 9-8-06 <br /> Personally appeared before me the above-namerg Yued �T6 h 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 cher,cafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> ed <br /> Q <br /> Margaret C:' Santos3 <br /> NOTARY PUBLIC " Notary Public <br /> SEAL Commonwealth of Massachusetts <br /> Nycommission Expires SepL24,2010 �j �y-eq�Jb <br /> Commission Expires: <br />