Laserfiche WebLink
BUSINESS CERTIFICATE#07s� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE d <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 /> undde,rsigned hereby declare(s) that a busines//, <br /> sunder the title of <br /> { <br /> r 14 p, C � <br /> ©5 /1!7 _0141DBA C2� �/�� 1 ��//UT/itri Aa ifs'o Z;)cted at <br /> Business Location: 2 UUG/3 0U/ 5-y /V <br /> Business Mailing Address: 4 ul t g a U/ 11 A/V <br /> Business Type:__.PAA n Wit Business Telephone: <br /> by the following named persons: <br /> 4 FULL NAi RESI ENE <br /> 24a WLC <br /> Home Phone: 39^ ,f/ <br /> I certify unde the penalties of perjury that I, to the best of my knowledge and belief live filed all state tax sand paid all state <br /> taxes as re tr d under law. <br /> ign re of auth ized agent *Si amre of a orized agent <br /> o © _ 6- // <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> c In case of emergency <br /> NAME: 7 l¢�� /9 �� S/��/J TELEPHONE NUMBER: <br /> 3 <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 Nfassachusetts Department of Revenue to determine whether you have met tae 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 /> BAR,^IST.a.BLE ss <br /> The Commonwealth of Massachusetts <br /> � DATE <br /> Personally appeared before me the above-named / / V(,(JS ba- S )Iva and made oath that the foregoing statement is <br /> [rue. - . � <br /> A certificate iss d 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 thereafte s long as such business ail be conducted and shall lapse and be,void unless so renewed. <br /> Signed <br /> Deborah F. Daml Notary Publi <br /> SEAL <br /> NOTARY PUBLIC <br /> Commonwealth opi assachusetts <br /> es July 24,2009 Commission Expires: <br /> My Commission Exp <br />