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2006
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11/17/2016 3:10:00 PM
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11/13/2016 10:16:22 PM
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Box 037
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y <br /> BUSINESS CERTIFICATE#06 — N1 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OFMASHPEE 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 b eby declares)that a business under the title of <br /> �� <br /> DBA_ ��/'� `' 5�7 r/ 'v�-���U�. is conducted at <br /> I <br /> Business Location: <br /> Business Mailing Addd�ress: ry /� <br /> Business Type: (�n.s// t l C!J7/G Business Telephone: LP/ /—7 J G� y 71RX <br /> by the following named persons: <br /> / FULL / Ed0 A Sin N/7Grirrs /�aC <br /> el 2-v <br /> Home Phone: ,5<9YZ/7 / <br /> � <br /> ertify de he p nal ' s of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as red t I 1 <br /> *Signature of authorized ag nt *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> _� / In case of emergency �J 7 <br /> NAME: ✓a'y��! i ! TELEPHONE NUMBER: 50 <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 5-L(- ?CAS <br /> Personally ap eared before me the above-named Ve and made oath that the foregoing statement is <br /> true. <br /> A cern cate iss ed'in acco dance 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 th eaft so Ion su h business shall be conducted and shall lapse and be void unless so renewed. <br /> �ned .. ,. <br /> tsl et C. Santos <br /> NOTARY PUBLIC <br /> Commonwealth of Massachusetts otary Public <br /> SEAL my Commission Expires Sept.24,2010 <br /> Gi' apt Do 10 <br /> Commission Expires: <br />
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