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` BUSINESS CERTIFICATE#07 "7'V J ,t THE COMMONWEALTH OF MASSACHUSETTS • TOWN OF MASHPEE 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 (� DBAnkAA,l is conducted at Business Location: Business Mailing Address: St1rn Business Type: M\ Business Telephone: ,,3o ``0 �' v\7',� by the following named persons: FULL NAME RESIDENCE 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 taxes 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: �_Dnt n TELEPHONE NUMBER: Alarm Company: 'Rl_ Q NfV1g%A *This license will not be issued 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 fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C, Section 49'A. - The Commonwealth of Massachusetts BARNSTABLE ss DATE J`"L/- 34DG7 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 years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. Signed • - CNotary Public SEAL Margaret C. Santos QI g-au --aouE> NOTARY PUBLIC Commonwealth of Massachusetts Commission Expires: Ny.Commission Expires Sept.24,2010