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.n R <br /> y BUSINESS CERTIFICATE#06 -q6 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE // 7 <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 /> under igned hereby declare(s)that a business under the title of , / <br /> ��fl 8%X �LI DBA �u✓1fie VAS <br /> is conducted at <br /> J <br /> Business Location: 15 f2-lci-1 IMCCS�{7-C� 11/�� (�2_(,�q <br /> Business Mailing Address: so .ryl C_ 'r— <br /> Business <br /> r— � <br /> BusinessTypeEA Yme4f c <br /> °efn-6J Business 14y, / /q( ¢ <br /> by the following named persons: .9W i r/ <br /> FULL NAME RESIDENCE <br /> )n n ; 13 f Gbh (s IZl veil- Ieash pee � 024 yy <br /> Home Phone: �� �-3 [. qS— <br /> certify upd 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 /> xes s/requi $unde w. <br /> tgnature of an orized agent *Signature of authorized agent <br /> ©a/6�W38' <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> p In case of emergency G <br /> NAME: )clC a � Ad.y TELEPHONE NUMBER.50O `5&V ySN� <br /> Alarm Company: - - <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 Y (J <br /> Personally appeared before me the above-named T/�{�J lLtil /C�V I and made oath that the foregoing statement is <br /> true. <br /> A certi issued in aec ance with this section shall be in force and effect for.four years from the date of issue and shall be renewed <br /> each four ye therea er so long such business shall be conducted andshalllapse and be void unless so renewed. <br /> _ Margaret C. Santos <br /> NOTARY PUBLIC otary Public <br /> SEAL r Commonwealth of Massachusetts <br /> Vly Commission Expires Sept.24,2010 (7 -� 4) <br /> Commission Expires: <br />