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BUSINESS CERTIFICATE k 09 "01 <br /> 771E COMMONGVEALTH OF MASSACHUSETTS <br /> TO WN OF MASHPEE <br /> • DATE iZ -17 -p� <br /> Expiration Date: DeCemher 31, 2013 <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 /> Arran Cay rorr1 DBAr ir,1-,l Cg rrJnL."eyec is conducted at <br /> 1rno <br /> Amu+h _d#16ac /` <br /> Business Location: r_'oLQ.e coc1 42B \c, $60 I2 !i AtMS� e_ 0?-& (.`l <br /> Business Mailing Address: porty re-J Glome Sanc Wra-�\ MA 029_to3 <br /> Business Type: Business Telephone: 5_6T T3'? -3-173 <br /> by the following named persons: <br /> /1 PULL NAME RESIDENCE II 1 <br /> r'Tcnoir\ CA Cron to ear-W �cr-rc-te, 5aogatwZ l 14le _ <br /> Home Phone: <br /> I certify bider 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 /> taxes as r d under law. <br /> .,.on lure of thorized agent *Signature of authorized agent <br /> bts st �� 3881 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME vn Ca n rvA TELEPHONE NUMBER: 5-o875-31-5973 <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 Gencra] Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss �7 DATE <br /> Personally appeared before me the above-named (-1C(orl a 7 ton and made oath that the foregoing statement is <br /> true. <br /> A certifi to 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 re er o long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • Margaret C. Santos 4 Ct_° CAAomy <br /> 9 ~ <br /> -AL NOTARY PUBLIC Notary Public <br /> Commonwealth of Massachusetts 1/- 34-ael0 <br /> Commission Expires Sept.24,2010 Commission Expires: <br />