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• BUSINESS CERTIFICATE#07 �S THE COMMONWEALTH OF MASSACHUSETTS TOWN OF MASHPEE V�(� DATE cA\ Expiration Date: December 31, 2011 In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned h-,ereby declare(s)that a business under the title of ig 9 J'crzl loy- L o l DBA PY-a C s is conducted at Business Location: Business Mailing Address:_ 2� p Business Type: C&t-4 Q Q Business Telephone: 5 U�_ 5 -3 by the following named persons: SID / o E CE �-f Home Phone: 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 tax s re wired under lay . JWgfiaSre of authorized agent *Signature of authorized agent **Social Security Number(Voluntary) or Federal Identification Number In case of emergency NAME:(/�'�n [r 1 S pr-, 1 2-'z— TELEPHONE NUMBER: J 6 5-3 'I,F 3 Alarm Company: 5-� f00'-s-- *This license will not be issued unless this certification is signed by applicant **Your social security number will be famished to the Massachusetts Department of Revenue to determine whether you have met taxfiling or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. - BARNSTABLE ss The Commonwealth of Massachusetts DATE Personally appeared before me the above-named k:>rT4P'4-T, (.DP61 2r_ and made oath that the foregoing statement is true. A certificate issued in ac ordance with this section shall be in force and effect for four years from the date of issue and shall be renewed each four years th after so to a such business shall be conducted and shall lapse and be void unless so renewed. Signed • A JOSE gals ecH�u,m SEAL rnUU0NWULNTH FVOO�SAW, 0*W2S 1019