Laserfiche WebLink
BUSINESS CERTIFICATE#06-31 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: December 31, 2010 <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)t t a business under the title of <br /> DBA V ( 1 Q -S is conducted at <br /> Business Location: <br /> 418 Qut»aqu sssetAtaenue#84 <br /> Business Mailing Address:_ <br /> Business Type: G�-� Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIR&NWi ze E s <br /> itiMashpee, MA 02649 <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 /> Des as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> oto - 3a - <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Your social security number will be fumished 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 L(— Door <br /> Personally appeared before me the above-named^MgAg r,e E H s i e 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 thereafter so long as such busi shall be conducted and shall lapse and be void unless so renewed. <br /> Signed �- <br /> • - ta�blit <br /> SEAL � Margaret C. Santos <br /> NOTARY PUBLIC of a-cl —nolo <br /> Commonwealth of Massachusetts Commission Expires: <br /> my Commission Expires Sept.24,2010 <br />