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BUSINESS CERTIFICATE#07� <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 /> WY>1 •L A2& en �n DBA 1-6 me 2 ,art E 1IAAi U-6 a-<e <br /> 1 i f is conducted at <br /> Business Location: L` 4eR 1) (1, 2 ���`^$_�p �- d �.-U q(3 <br /> Business Mailing'`Address: l� lle n o i Ca <br /> Business Type: V_ Ke9enyZa mF1Wi—_ Business Telephone: '�! t4 �9/`� 0 <br /> by the following named persons: <br /> Al <br /> RESIDE <br /> Ff2 C� ' S [l (k�r1 d1J ENC <br /> Home Phone: <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 /> taxes as required under 1 <br /> -gnature of authorized agent *Signature of authorized agent <br /> y4 (o- 3 q - 7y al <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> /n` n In case of emergency c �[ -z� <br /> NAME: Sys&) A R ck'o TELEPHONE NUMBER:5j:?d-52 - T 9 'S <br /> Alarm Company: S�QR'3f�-e <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 ss DATE /O ' [ I -U ' <br /> true. W IVB <br /> Personally appeared before me the above-named -L (!' K4 0'SR and made oath that the foregoing statement is <br /> A certificate issued in accord3D ay 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 <br /> thereafter solonga chusii s�e conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • Deborah F. Dami <br /> SEAL~ * NOTARY PUBLIC Notary Pub] <br /> Commonwealth of Massachusetts <br /> My Commission Expires July 24,2009 Commission Expires: <br />