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BUSINESS CERTIFICATE#08 ��5 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE . 310'Ll /O8 <br /> Expiration Date: December 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 a business under the title of n /_ <br /> /��6olya6e G2u6/AGE DBA 4 // 64A) 7/l04 S is conducted. at <br /> Business Location: SO kl v62 /3EA/20 / IVA15140,5E- /A4 02e y9 <br /> Business Mailing Address: 80 &C, kl&,6w <br /> Business Type: Business Telephone: <br /> by the following named persons: <br /> FULL NAME RE <br /> SIDENCE <br /> /�tE,rANDEC G�a�S iOG� �O P�6 /Iivsev0�/l1/dS/�PEE <br /> Home Phone: J09 -1172 1311 <br /> � <br /> ertify 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 /> es as required under law. <br /> * gnature of authorized agent *Signature of authorized agent 64 - 3 8 X18 S38 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME:�/fQ<S%'i./lJE �Q6lB/OGS TELEPHONE NUMBER: 4�4$ 73f/�ffGO <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 <br /> Personally appeared before me the above-named Ad 1.Qrkd109. Gill b i J I e— 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 thjeaf/ter so long as such business s all be conducted and shall lapse and be void unless so renewed. —� <br /> ed <br /> Margaret C. Santos tary Public <br /> SEAL I° I NOTARY PUBLIC 9-a y- 6o lo <br /> Commonwealth of Massachusetts <br /> 'Ay Commission Expires Sept.24,2010 Commission Expires: <br /> ' <br />