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BUSINESS CERTIFICATE#07 - <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <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 ��" 1 <br /> ,� '�vnu� DBAreryS�t(�CE Auu> l�Ne Tj� �(pr<a(j is conducted at <br /> Business Location: _Q_Q'. <br /> Business Mailing Address: - <br /> Business Type:Au10 �1Nti'J 1 f .LZ... �`.y�p Business Telephone: 5U�- lJ 3Cf--SL <br /> by the following named persons: _ <br /> y� FULL NAME RESIDENC <br /> J�-Ir l A AttrStl GZZ Qu , <br /> Home Phone: L(-SZ-71A, <br /> 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 /> s as required under law. <br /> *Sig u e of a/utl r' ed agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: NCbNwtk '53upp w TELEPHONE NUMBER: Jdt-7 <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 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 ofMassachusens <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named ZC{sr2r) Ar9'c4) I"nu If and made oath that the foregoing statement is <br /> true. <br /> A cern icate 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 year reafter so long as such busin all be conducted and shall lapse and be void unless so renewed. <br /> �ed <br /> Margaret C. Santos otaryPublic <br /> SEAL NOTARY PUBLICCommonwealth of Massachusetts <br /> WILI' <br /> aU-aG)� <br /> IAy Commission Expires Sept.24,2010 Commission Expires: <br />