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Y � R F BUSINESS CERTIFICATE#07 / THE COMMONWEALTH OF MASSACHUSETTS TOWN OF MASHPEE 11 / • DATE Expiration Date: December 31, 2011 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 ' t� 4AJ 6A,&�E"( DBA__RK '1% _ 'tbp/* is conducted at Business Location:I S /P4p1l� S7 m A- calouc) Business Mailing Address: Vyva'wE MA— OA( 9 Business Type: �C pA Business Telephone: �(�� - U-7'1 —72— J by the following named persons: FULL N RESIDENCE FrLL ��N I k l ��S sg y f J� �I++ 4�^ l l� . G� �✓,8'3 3 G Home Phone: S Ci 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 s as required under law. *Signature of authorized agent *Si e of authorized agent **Social Security Number(Voluntary) or Federal Identification Number In case of emergency NAME: TELEPHONE NUMBER: Alarm Company: *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 detenrtine 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 ofassachusetts BARNSTABLE ss ()'lLiftcuU /t . Nenviessay DATE 10-o2(0 -,200(1, Personally appeared before me the above-named Venn i-Fer T. lfen nesse(/ 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. Od `�-UIL.L�.�-Yf t LINDA,l.STEELS SEAL - ' Commission Expires: