2007 - Laserfiche WebLink

Home Browse Search

BUSINESS CERTIFICATE#073 THE COMMONWEALTH OF MASSACHUSETTS TOWNOFMASHPEE v y DATE / Expiration Date:December 31, 2011- 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 Ai : � is conducted at Business Location:, j �� - b f U Business Mailing Address: R.2AL..Q 65TATti r . Business Type: Business Telephone: - is s5 MSu111�1 (, by the following named persons: - FULL NSE RESIDENCE �UrU= -bfL, �J e ��A' —1 -n.oN 1SUM Home Phone: I 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 0xes as required under law. *Signature of authorized agent *Signature of authorized agent **Social Security Number(Voluntary) or Federal Identification Number - - In case of emergency NAME: q - TELEPHONE NUMBER: Alarm Company: *This license will not be unless this certification is signed by applicant, "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who failto correct their non-filing or delinquency will be sub ect to license suspension or revocation. This request is madeunderthe authority of Massachusetts General Law,Chapter 62C, Section 49A. The Commonwealth of Massachusetts BARNSTABLE ss DATE a Personally appeared before me the above-named - 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 ars thereaftersuckbusiness so,long s suc usiness shall be conducted and shall lapse and be void unless so renewed. - ed ota -. SEAL COMMONWEALTH OF MASSACHUSETTS C mirQ9 0At Tas: .