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BUSINESS CERTIFICATE#066 <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 <br /> DBA9/LL s conducted at <br /> Business Location: /7 <br /> Business Mailing Address: <br /> Business Type: �Gfflrc �T,iY�y . Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> N^z 6Z <br /> Home Phone: <br /> Adilk 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 /> xes as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency , <br /> TELEPHONE NUMBER: _12_"f <br /> Alarm Company:6C2 Q22,0 ACAle e7 <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 subieet 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 l/ <br /> BARNSTABLE ss DATE b <br /> Personally appeared before me the above-named W�`1 i4tr Gil Y) and made oath that the fo goin�statft 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 business shall be conducted and shall lapse and be void unless so renewed. <br /> ned <br /> -Margaret,G''Santos <br /> SEAL N05"ARY PUBLIC Notary Public <br /> Commonwealth of Massachusetts <br /> Q - <br /> oNy Commission Expires Sept.24,2010 <br /> Commission Expires: <br />