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BUSINESS CERTIFICATE#07'I D <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE (� <br /> DATE 4_ 304260-7 <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 /> 1 <br /> DBA TYVL r is conducted at <br /> Business Location: I L o Q C t—�� <br /> Business Mailing Address: 6 2 <br /> Business Type: �rvy-A 0,CCe V�P j ; ��usiness Telephone: <br /> by the following named persons: 1 <br /> FULL °MEY� <br /> SIDENC J <br /> Home Phone:s- <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 /> tes as requires urt r la�ti <br /> ¥Si_gnature of authorized agent *Signature of authorized agent <br /> tel- ( 49366 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> nn In case of emergency: TELEPHONE NUMBER: <br /> � Yj7 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 famished 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 of Massachusetts -� <br /> 3 <br /> BARNSTABLE ss p DATE C� � U ZQO <br /> Personally appeared before me the above-namedR.r A-N k (;�-cwy�e M, 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 long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed nn <br /> Notary Public _ <br /> SEAL <br /> 4 <br /> Commission Expires: <br />