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BUSINESS CERTIFICATE#08 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE —]�l�OA' <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 /> undersigrned hereby declare(s)that a business under the title of <br /> tC,kI�F �%&W—CL-t��W\46 t11X DBA d,bftGra�A l�`A-C-'1, IVv1,W-ttN4 is conducted at <br /> Business Location: aw tt"'1al_f�i1 � CU�N+'2.R�tE.eb �' QRS VA'l; �U� <br /> Business Mailing Address: IoW P;?_DLRAL ST t ppdRt2_ n/1W OI g/ U <br /> Business Type: MESCAL— Business Telephone: SCO-TS 2-210 <br /> CxD <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> �..n�V ss S N�Stra,�A (.t OCU F1PzPAL ST Qtgow' R-- K4 <br /> mss L m2c.�Rt� �� ?�C_ Sr ANtts_e YL(� olsclo <br /> Home Phone: <br /> Aiftertify under the penalties of perjury that I, to'the best of my knowledge and belie have ed 11 state tax returns and paid all state <br /> ias <br /> required m deignatur *Signa re of au agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> / In case of emergency <br /> 1/ <br /> NAME: zylli �Vw(��L•�9L� ( 11.ti4LcOP� TELEPHONE NUMBER: <br /> (� <br /> Alarm Company: eAl�/; 0 4AR&I c <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 Commomvealth of Massachusetts <br /> BARNSTABLE ss I ' , DATE 7 10 <br /> 0 0 <br /> Personally appeared before me the above-named To-k, VI/KT _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 /> ed <br /> /9#o Deborah F. Dani <br /> V'UCr)L <br /> NOTARY PUBLIC Notarub <br /> y Pic <br /> COMM <br /> MC ea Rh of Massachusetts <br /> My COMOiWon E)Ores July 24,2009 <br /> Commission Expires: <br />