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BUSINESS CERTIFICATE#07—j7J <br /> THE COAIMONWEALTH OF MASSACHUSETTS <br /> TOWiV OF MASHPEE <br /> DATE 7 / O <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 /> AlR rs} t/N /ti( ur2PN DBAAf2r{j lel AluRP�L1, fiZc�SsioN9Lt�llE )its conduc ednat <br /> Business Location: 5_3 j gAg- <br /> Business Mailing Address: .S3 TR 4-C, <br /> A1-y-SN PE�� <br /> Business Type: Pg Ft !o t rR t R N c S Business Telephone: <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> 1t1 i R V,, /t/,-v <br /> Home Phone: <br /> I certify under the penalties of perjury that I, to the best of my knowledge and belief, have tiled all state tax returns and paid all state <br /> taxes as required under law. <br /> t <br /> IG <br /> enamre of gilt rized age <br /> "Signare of authorized anent <br /> � "fSS - �fFf-DiS -7? tu _ <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: j�) +,n/ kt aFc/t S ¢ U TELEPHONE .XFUMBER:6/7 <br /> .-Harm 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 derermine whether you have met tax tiling or tan <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 ender the authority or,Massachusetts General Law,Chapter 62C. Secrion 49A. <br /> The Commonwealth ofMassachasetts / - <br /> BARNSTABLE ss DATE 7 / /d <br /> Personally appeared before me the above-named lt(A/Z *VAI/ "R qR jn4 Y 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 Ion as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed - <br /> Margare? <br /> o Notary P thlic <br /> SEAL NOTAR)' ^!;'c. <br /> Commonwealth of mtassacm::;u; C? ay- z <br /> 011 <br /> 1Ny Commission Expires Sept. 24.2012 <br /> _ Cortvnission Expires: <br />