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BUSINESS CERTIFICATE#07 —(ra <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOIT I OF MASHPEE <br /> DATE (0— <br /> Expiration Date: December 31, 2011 <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 �) J <br /> %`✓ ��-z� DBA /J/�✓/� p2�/ y'/Otr=�r =sus conducted at <br /> Business Location: ,S1j�)YI�J/ <br /> Business.Mailing Address: <br /> Business Type: f7p//yGi Dr Business Telephone: 4111 <br /> by the <br /> effollowing named persons: G <br /> FULLY <br /> Home Phone: <br /> certify under the penalties of perjury that I, to the best of my lotowledge and belief, have filed all statetaxreturns and paid all state <br /> es as required under law. <br /> J� s�� <br /> *Si re of authorized agent - - - *Signature of authorized agent - <br /> **Social Security 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 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 �o-t3 aoo J <br /> Personally appeared before me the above-named 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 thereafter.so long as such busine s all be conducted and shall lapse and be void unless so renewed. <br /> * Margaret C. Santos <br /> NOTARY PUBLIC Notary Public <br /> SEAL Commonwealth of Massachusetts p <br /> My Commission Expires Sept.24,2010 / yy <br /> W: - Commission Expires: <br />