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BUSINESS CERTIFICATE#06 —25'� • THE COMMONWEALTH OF MASSACHUSETTS u TOWN OFMASHPEE DATE / �f�D (' Expiration Date: December 31, 2010 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 P( It,c rwzocA lei bue LyJ ,ie( DBA F—A c/01 P4-J 14,,. e4 /{7 ho Ee fg�n 1..� is conducted at Business Location: 2 '� G�}ect �hQ C rt'P S CP , C L-a iv-e Business Mailing Address: S U n 2 Business Type: x(d j,u 4 , a ha C ,) ALs u!4,N 5 Business Telephone: 5-z 1!i�! — 9 7 1 s9 i r Z PP,0-ta7raPt..t by the following named persons: FULL NAME RESIDENCE R la c ke-:. J w e u Ewer Cres cr',i(_- Liu "J'J CSla ,(rwt) 2 WPrw .f C.reSc-P Home Phone: STU 45— Y 77—`-2 0ertify 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 es as required under law. a ll��l B�—wZr�z� *SJgnatLA4 of authorized agent *Signature of authorized agent **Social Security No other(Voluntary) or Federal Identification Number In case of emergency NAME: J �/ IJ (mac k c J c�J C/1 TELEPHONE NUMBER: Alarm Company: *This license will not be issued unless this certification is signed by applicant **Your social securitynumber will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. The Commonwealth of Massachusetts BARNSTABLE ss L \ DATE K-s aoob- Personally appeared before me the above-named �3b 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. .gned _ )el*.�� Margaret C(Santos c NOTARY PUBLIC No ary Public SEAL Commonwealth of Massachusetts my Commission Expires Sept.24,2010 Commission Expires: