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BUSINESS CERTIFICATE#07510 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE oda D7 <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 <br /> ,hereby declaarre(s_)lthat a business under the title of <br /> V'�✓P!!"i rvlOS 151!/7 ,✓Q CSD»n®� �DBA 7_Z A is conducted at <br /> Business Location: Zq -7 kiq4 �1Jl5 rHi J1�45�� <br /> Business Mailing Address: 'l <br /> Business Type: /SCS if 1�yp h Business Telephone: 5'Ds Z:n—g0777 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> "TyKAO s 10kin ddd yt <br /> Home Phone: <br /> �rtify 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 /> s as uir der aw. <br /> �� <br /> *Signature of authorized agent *Signature of authorized agent <br /> 067 567-7 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> s I J / In case of emergency <br /> NAME: <br /> ` ,k tt( Orr 5pV fJavc-h yrt D,j TELEPHONE NUMBER: 50E--771-3 Zi <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 failtocorrect their non-filing or delinquency will be subject 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 \\ � f DATE <br /> true. � r <br /> Personally appeared before me the above-named fjTo �Q.r2'FxV'nOs and made oath that the foregoing statement is <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 fauqu ears thereafter so long as.such business shall be conducted and shall lapse and be void unless s <br /> c� _ VICKI ANN GOVONI <br /> �ed Cnwl- - <br /> No Public <br /> c COMMONWEALTH OF MASSACHUSETTS <br /> My Conlin ssm Expires <br /> SEAL <br /> I - - - Commission Expires: <br />