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BUSINESS CERTIFICATE#06 <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)that a business under the title of t <br /> IlQY'OIl/� l7SQrtc.�0./ telC,�ta.,( [csow DBA r��^Act �7- � r_ �s� is conducted at. <br /> Business Location: 7 tO�O DI,� QE1ns�abLt Fo M[ f nee Mfg 0 y� <br /> Business Mailing Address: f�o. ttRox t7 6 q <br /> Business Type: 6IJ_"6# 10hrn21' y Business Telephone: <br /> by the following named persons: <br /> F/U+L�L NAME RESIDENCE <br /> u Aral d Gi M cel A Sg llue C BnaR� (�/TI MA C�o�e MR odd y5 <br /> R; GI. ord Pfj tri nn 7(06 01.1 1Saras�al(c Ma S _N1� 9 <br /> t <br /> Home Phone: SW q7-7' <br /> certify under the penalties of perjury that I,to the best of my knowledge and belief, have filed tate tax returns and p 'd all state <br /> xes as re (ire de W. / <br /> *Signature of authori gent J*Si1g11a9tUreofauthorized ent <br /> **Social Secur ty Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Your social security number will be famished 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 I DATE � <br /> h1 i�?c�d 161'4HCv /(,1 <br /> Personally appeared before me the above-named hI�O/+uic� �}-h c�Pt,.SUn 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 there er s long a such business shall be conducted and shall lapse and be void unless so renewed. <br /> �ed . _ C ' _ <br /> n Margaret C. Santos 1 <br /> NOTARY PUBL <br /> SEALIC UVJ <br /> Commonwealth of Massachusetts ary Public <br /> My Commission,Expires Sept.24,2010 <br /> 4-C"I/- '�z)p <br /> Commission Expires: <br />