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2007
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Last modified
11/17/2016 3:10:00 PM
Creation date
11/13/2016 10:16:24 PM
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Box 037
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BUSINESS CERTIFICATE#07 Ic`7 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWNOFMASHPEE DATE <br /> • <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 <br /> � �� (>-ndersigned hereby declare(s) that a business under the <br /> title of <br /> h / 6ne, AK+ (` l is conducted at <br /> Business Location: S-0iA4-k —�ck PUz - <br /> Business Mailing Address: I S alam()q S` ree.-f- tAST) A/W NMI <br /> Business Type: _ Business Telephone:��n81 Lt -}q— (Xo d <br /> by the following named persons: <br /> )s FLAME <br /> id. <br /> 0bkp Icor. �f1as1� �� d y ti <br /> Home Phone: <br /> 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 <br /> taxes as req ned under law. <br /> enatur f authorized agent *- ,gnamreuthorized agent <br /> aa3 _ c� C" Ll <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 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 of Massachusetts <br /> BARNSTABLE ss `` DATE fr -,2067 <br /> Personally appeared before me the above-named 'bY' 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 the Rer so long as sue business all be conducted and shall lapse and be void unless so renewed. <br /> Signed v <br /> C. Santos NottryPubf, <br /> SEAL Margaret G n <br /> ° NOTARY PUBLIC / m aCJI(� <br /> . GommOnWealth of WsSacl 24,2010 Commission Expires: <br /> Ny Commission Expires Sep . <br />
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