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it <br /> BUSINESS CERTIFICATE#07_f_q <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE \ <br /> DATE <br /> Expiration Date: December 31, 2011 <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 /> R'eN MP �e-oc.Y'C��eS ��r9. V nc�(nec DBA is conducted at <br /> Business Location: <br /> Business Mailing Address: <br /> Business Type: ��'Ue Business Telephone: r�pfs.t�'I-1, yi{yt( <br /> by the following named persons: <br /> FULLNAME RESIDENCE <br /> C <br /> nc�lr�s -1-1 �s�t� 2oca� I ma�ce� �Y1� oab4q <br /> Home Phone: `j O$• y1, • (o-I Dle <br /> I certify under the penalties of perjury that I, to the best of my Icnowledge and belief, have filed all state tax returns apd paid all state <br /> a aas�,re u ed under <br /> *Signature of authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company:_ ,W t'y y., <br /> *This license will not be issued unless this certification is signed by applicant <br /> "Your social security number will be famished 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 as DATE <br /> true. Personally appeared before me the above-named le v)ike� Z and made oath that the foregoing statement is <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 year��a er so lon,4 as such business shall be conducted and shall lapse and be void unless so renewed. <br /> ed <br /> SEAL Notary Public <br /> � 20/„2_ <br /> Commission Expires: <br />