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BUSINESS CERTIFICATE <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • <br /> TO TYN OFMASHPEE DATE <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 /> �}gECO/�F77_ GDM DBA is conducted at <br /> Business Location: '90 )CD A/ y 2/ V45- A.1fX ff7�'L"O <br /> Business Mailing Address: p <br /> Business Type: 50�121/.4�2� 1��1l�2.�Di�1T Business Telephone: <br /> by the following named persons: - <br /> FULL NAME RESIDENCE <br /> _A!¢ge- i tg <br /> Home Phone:,' <br /> ert fy under the penalt es of perjury that I,to the best of my.lmowledge and belief, have filed all state tax returns and paid all state <br /> es as requiredunder//law./ <br /> *Signature of authorized.agent - - *Signature of authorized agent - <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> .In case of emergency - - <br /> NAME: TELEPHONE NUMBER: <br /> Alarm 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 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 /> BARNSTABLE ss DATE l <br /> Personally appeared before me the above-named e� Le.� 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 /> Ored (IACiD 41— cull, <br /> SEAL LaryPubfic <br /> COMMONWEALTH OF MASSACHUSE71{ <br /> Cos: <br />