Laserfiche WebLink
BUSINESS CERTIFICATE#09 (90-57 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE <br /> Expiration Date: December 31, 2013 <br /> In conformity with the provisions of Chapter one hundred and ten, Section fiveofthe General.Laws, as amended, the <br /> undersigned <br /> /hereby de <br /> clare(s)that a business under the title of 1-6 <br /> 6/?10,/ 6F <br /> DBA <br /> is conducted at <br /> Business Location: J5-- Soc( ST- / WS49pP // 4 <br /> Business Mailing Address: O/ <br /> - <br /> ( O.'i't✓1P re.Q/ S'J� ,�(S/I/.��0 �/ p <br /> Business Type: �FS�4k .p '. Business Telephone:_ �— y d — //-2 7 <br /> by the following named persons: - <br /> L� FULL NAME J RE ID NCE(/��!'plt7 PrT �✓ <br /> Home Phone: .� �0 ^�� O 3b R <br /> I certify under the penalties of perjury that I, to the best of my knowledge and:belief, have filed allstatetax returns and paid all state0� es - - <br /> "iequiranderlaw. __Ghorized agent *Signature of authorized agent <br /> **Social Security Number(Voluntary) - <br /> or Federal Identification Number - (' p <br /> In case of emergency 3"'D �—7 2 p 36? - <br /> NAME:_0&0 yr Stier, C 0 f""-y TELEPHONENUMBER:-'5-6F-36/— I/ 9-27 <br /> Alarm Company: 7/> <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 he subject to license suspension or revocation. This request is made under the-authority of Massachusetts General Law,Chapter 62C,Section 49A. - <br /> The Commonwealth ofMassuehusetts <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 i ed in accordance w <br /> ,4b this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years there so Ion as such b nes II be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • Notary Public <br /> SEAL <br /> Commission Expires: <br />