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BUSINESS CERTIFICATE#07 <br /> THE COMMONWEAL TH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE J11AV d'°U` 62700'� <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 herebyde �O declare(s) that a business under the title of <br /> zS� ( n4 c �v�/— rtn^ /C✓ +VK �Pra l n( -1 <br /> is conducted at <br /> Business Location: .109 <br /> Business Mailing Address:'Flash / <br /> Business Type: 'Fas'h�C Coa4;,.� Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> ;e�i✓ 4&7, 7_40)wAs Jy le)? <br /> Home Phone: UvU "t5't32 - 05j'6 oaG u9 <br /> I cert fnE ury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes a <br /> .�r.� 4L e� Zas�(.aas �fed s>n?v e(x�er <br /> gna *Signature of authorized gent <br /> � <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> L)f <br /> In case of emergency4 <br /> NAtV1E: "ne_ �S TELEPHONE NU MEER:1�0�–ty9s'y <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 tar tiling or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C. Section 49A. <br /> The Commonwealth ofiNassachusetts �y <br /> BARIVSTABLE ss DATE / S <br /> Personally appeared before me the above-named Lit4070,ms_� a:: and made oath that the foregoing statement is <br /> [rue. <br /> A certi tate 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 t ere er so long uch business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed /1 ' <br /> SEAL (Notary Pu lic <br /> Deborah F. Dami <br /> o NOTARY PUBLIC <br /> Commonwealth of Massachusetts Comm scion Expires: <br /> My Commission Expires Jury 24,2009 <br />