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fir <br /> BUSINESS CERTIFICATE #08 <br /> • TIIF COMMONWEALTH OF MASSA CHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <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 <br /> /a business under the title of <br /> (�Jen/�Qp1i� d- CqC/"1 "14 <br /> 1 h� //DBA /JI¢ ✓zC� J ^� ON 4/p- is conducted at <br /> Business Location: ��9 C �.^/ ��i�.i" h4•u% �f.Lq�/Joe` <br /> Business Mailing Address: �9✓'//�e <br /> Business Type: fJN it N b M'/ Business Telephone 77 Lo <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Home Phone(V�� ` 7 — 7 ff " <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 /> as required yindex <br /> *Si ature of authorized agent *Signature of authorized agent - <br /> 0/l``lib `(/7/& <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number- <br /> / [ In case of emergency <br /> ,//J� <br /> NAME: """) Gq L T vrfj� TELEPHONE NUMBER: Z/7 2-JT <br /> Alarm Company: !Y <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 of Massachusetts <br /> BAI2NSTABLE ss /1� DATE (a -o <br /> -1 3 ff <br /> l C {wr, <br /> Personally appeared before me the above-named ,�%Peh Y� . c ��f <br /> and made oath that the foregoing statement is <br /> uve. <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 /> •ed <br /> � <br /> Margaret C. Santos �s <br /> } NOTARY PUBLIC tary Public <br /> SEAL �j(f µ��Commonwealth of Massachusetts <br /> Ny Commission Expires Sept.24,2010 q _ " y-aGl o <br /> Commission Expires: <br />