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BUSINESS CERTIFICATE#08 <br /> 7HE COMMONWEALTH OF MASSACHUSETTS <br /> • TO NIN OF MASHPEE <br /> DATE /Z 4tO 0-7 <br /> Expiration Date: December 31, 2012 <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 /> r ,�/ T� is conducted at <br /> Q.VI�L M rip DBA ( 202 F 6 p-M 7- / p <br /> l q 0 <br /> Business Location: 31 (RaasbnefRd. MQshee l MA <br /> Business Mailing Address: 31 �as[/�mf— ke Alta hOB� 1,�1 OZ/,Yrl <br /> Business Type: ra-.✓'M C LAAV",- Business Telephone: ljon,�_ WaC ria Adds e <br /> by the following named persons: C$6�r) q-71-&T-VZ' <br /> FULL NAME RESIDENCE <br /> wPnG�a M MIrfb 31 Quaskgd Moad. Md�lqpav PX <br /> Home PhoneCjr�� <br /> AMertify trader the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es as required under law. LL <br /> �W <br /> *rnatuie and rued agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency �508�477—g6 3'/ <br /> NAME: Rabin 814 nuo TELEPHONE NUMBER:($ aqy-73-ZS- <br /> Alarm <br /> 3.2.5Alarm 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 subiect 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 DATE <br /> Personally appeared before me the above-named 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 /> ted <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br />