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L8Z1 D79 <br /> BUSINESS CERTIFICATE#09 7-0 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE p� <br /> • DATE <br /> Expiration Date:December 31, AW <br /> ZOt3 <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 /> Com , DBA � , Slope is conducted at <br /> ,?I- )S2 t t- t1n.. Q tc d -��l ee <br /> Business Location: -RL)Q <br /> Business Mailing Address: W-t- IOA�:Pjatkux J ISTQp2Lc vie TX-7 La1)5 1 <br /> Business Type: ReiCLL SOL I ns Business Telephone: <br /> by the following named persons: <br /> L-NSA-MSE RESIDENC <br /> Oral r,�s- ctt�t�, I i 2-S�. eEiprt o Ky-nA_a <br /> Home Phone: <br /> I certify under 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 /> taxes as required under w. <br /> lw-nature of authorized agent TAX DIRECTOR 1 *Signature of authorized agent <br /> -1I1-11D0g51Q3 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: t 3S 'R p ery{w-t TELEPHONE NUMBER:(817)9 Z�4-?L)0 n <br /> Alarm Company: 4ee i r+ <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 Maesaehn"='T..3, '5 <br /> •B•Ar1h�F6�A$�E ss DATE D v. b <br /> Personally appeared before me the above-named �fLs77A. �• N -+- 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 th e er s long as succ fness shall be conducted and shall lapse and be void unless so renewed. <br /> Signe <br /> • —`.. --- .nJ/�/�'//9'!`��t�i�i9L�/,lam_ <br /> ARMANDO CAMACHO III Notary Public <br /> ''` ',^ Notary Public,State of Texas �/7r'1 <br /> .'.. My Commission Expires <br /> {I~`''%......;,`,;'•` April 24,2011 Commission Expires: <br />