Laserfiche WebLink
a I <br /> BUSINESS CERTIFICATE#07—�la <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 /> unde signed hereby declare(s)that a business under the title of � f7Za�d (_,, <br /> / ``// DBA SCr�I' 75 � �7�t� is conducted at <br /> Business Location: I GO /P--A� t /�,tS" �� �2( <br /> Business Mailing Address: Z AX ! Q.sj /�// <br /> Business Type: . Business Telephone: COl 7 7 V 2- 7�O 7 <br /> by the following named persons: <br /> FULLN E / SIDE t!E �/� �UZ� vO <br /> (e h J <br /> Home Phone: <br /> Ioa allies of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> un er law.hor d agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> NAME: S" In case of emergency / <br /> c( TELEPHONE NUMBER:_5 <br /> Alarm Company: <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 ss DATE 2p <br /> Personally appeared before me the above-named 1 and made oath that the foregoing statement is <br /> true. <br /> A cc to is ued in accordance with this section shall e in force and effect for four years from the date of issue and shall be renewed <br /> each four years the afteso o as such business shall be conducted and shall lapse and be void unless so renewed. <br /> 10d <br /> Sbf- 7EAL / <br /> Deborah F. Darni Notary Pa lie <br /> NOTARY PUBLIC <br /> Commonwealth of Massachusetts <br /> OMY Commission Expires July 24,2009 Commission Expires: <br />