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BUSINESS CERTIFICATE#07_LLjb <br /> • THE COMMONWEALTH OFMASSACHUSETTS <br /> TOWNOFMASHPEE �n <br /> . DATE OCJ )b(,r W 1' 7 <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 <br /> }e15,t C He- e +srS LLC DBA T ko- 00.S S-Iv.'nL is conducted at <br /> Business Location: '7 )— Se--{e& 4-A it'V+ S <br /> Business Mailing Address: C-':' f 1.,V-m O L 7 1U <br /> Business Type: �i+hi I I Sl. n� ht Business Telephone: SG s V G 5-1 cso <br /> bv the following named persons: <br /> FULL NAME RESIDENCE <br /> jC>sr: Fr4 —grlsc3 L-LL 72S L, Ftl "" cvTr , 14wy <br /> Home Phone: St`it% S`1o'S r LXX <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 required under IaLw, <br /> *Signature of authorized hent *Signature of authorize-agent <br /> 1L, - 117$`1 Ito <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME O TELEPHONE NUMBER: S✓4 S6� �(�� <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 <br /> request is made under the authority of Massachusetts General Law.Chapter 62C.Section 49A. <br /> The Commornvea)th of Massachusetts 6t <br /> BARNSTABLE ss c DATE/ -iny �0�007 <br /> Personally appeared before me the above-named SA'LaH K "-leo o 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 vears from the date of issue and shall be renewed <br /> each tour vears therea �s togas su h business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Pohlr <br /> SEAL <br /> c,a <br /> Deborah IF Dami Commission Expires: <br /> NOTARY PUBLIC <br /> Commonwealth of Massachusetts <br /> My Commission Expires July 24,2009 <br />