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BUSINESS CERTIFICATE#08 -VO <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: Deeem er 31; 2012 <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 aQbusiness under the title of <br /> DBA S�� t`t f��S �U Su fart y is conducted at <br /> // /� �" <br /> Business Location: (p�® get Si'L.0 re- <br /> Business <br /> eBusiness Mailing.Address: ( a, <br /> Business Type: rans // 7h9 Business Telephone: .r0E- <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Mizhael [,aPv. /llaih&��, IV4- <br /> HomePhone: 504 877 - 7437 <br /> I certify under 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 /> Wes as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> `L6 — /7 L 7 7'30 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: G Cc zI Q T�(rPI Yg TELEPHONE NUMBER: SOF ys"y-3u z s- <br /> Alarm Company: 4 4ii2n,6L <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 /> BARrNSTABLE ss DATE <br /> Personally appeared before me the above-named 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 /> •Signed <br /> Notary Public <br /> SEAL <br /> Commission Expires: <br />