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J BUSINESS CERTIFICATE#07 -7/ • THE COMMONWEALTH OF MASSACHUSETTS TOYVN OF MASHPEE / 1 DATE _ 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 hereby declare(s)that a business under the title of n JM L DBA ?l-L24 (/�( v-V\� p� is conducted at Business Location: �� go tt(t�1,.C)�v�.tl� !w�f(A�( M/�' �C./Q- /�/•9�vI Business Mailing Address: y. ,�.'�^'�` 'N q-1 of f o �dZ'`'-�YC / ^� 1/) - - Business Type: �#-(,+ � Business Telephone: 5-Up q)9 y by the following named persons: f a 2__S 3 Home Phone: I certify der a penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state �es as qu' ed under law. *Signature of authorized agent - *Signature of authorized agent - - I )Cf &I **Social Security Number Voluntary) or Federal Identification Number. In case of emergency r C / I NAME: _1Q�6 1 f� TELEPHONENUMBER:/,4 Jdby ll3 Alarm Company: C,l *This license will not be issued unless this certification is signed by applicant _ "Your social security number will be furnished to the Massachusetts Department of Revenue to deterrrone whether you have met tax filing 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. _ The Commonwealth of Massachusetts BARNSTABLE as nn. DATE �-f-3 e� apo 7 Personally appeared before me the above-named 1(h t `r p Petn 0 S C.t and made oath that the foregoing statement is true. A cer ' rc e issued in accordance with this section shall be in force and effect for four years from the date of issue and shall be renewed each four ye he after so long as such business shall be conducted and shall lapse and be void unless so renewed. ed e argaretC. Santos NOTARY PUBLIC SEAL \wi'e C.mtilohwealth-of Massachusetts _ 1 otaryPublic Vly. onimission Expires Sept.-24,2010 �- 3 K - ap(p _ _ _ Commission Expires: