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2008
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Last modified
11/11/2017 3:50:23 AM
Creation date
11/13/2016 10:16:27 PM
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BoxNumber
Box 037
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----- — — — BUSINESS CERTIFICATE#OS_�� <br /> THE C0111MO.IWEALTH OF AIASSACHUSETTS <br /> TOGS OF MASHPEE <br /> • DATE 2—af- —GSr <br /> Expiration Date: DeceinbeY 31, 2017 <br /> In conformity with the provisions of Chapter one hundred and ten, Section flee of the General Laws, as amended, the <br /> undersigned herie>3;:� 9are(s that a b i Less under the title of .. <br /> Ci 11 DBAh��yl l S M <br /> �I ( � s conducted at <br /> Business Locatio <br /> Business bfailing Address: <br /> Business Type: usiness Telephone: <br /> by the following named persons. <br /> FULL NAlvIE RESIDENCE <br /> [Ka ,n Sked <br /> HomePhone: <br /> I certify t thehies of perjury that h to the best of my knowledge and belief, have filed all state tax returns and paid all stat, <br /> taxes qu z under aw. <br /> ia. utare of a uorized a�zent *Siananue of authorized anent <br /> *"Social Security Number(Voluntary) - <br /> or Federal Identification Number <br /> In case of emergency <br /> NANtE: TELEPHONE Nli VIBER: <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 /> pavment 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 Massachusens General Law,Chapter 62C.Section 49A. <br /> The Conuno nvealth of:Nassachusetts <br /> B.AILYST.4BLE ss DATE <br /> PersonAa �redbefore me the above-named Sef("1 OAYe-_ "t and made oath that the foregoing statement is <br /> true. A certin ace dance % ith this section sha 'be in force and effect for four Mears from the date of issue and.shall be renewed <br /> each four vears thng a such bus ess s II b d ted and sh i lapse and be void unless so renewed. <br /> Signed <br /> • <br /> Margaret C. Santos Notary Public <br /> AL <br /> A 9-�y-�oia <br /> NOTARY PUBLIC <br /> Commonwealth of Massachusetts Commission Expires: <br /> Ny Commission.Expires Sept.24,2010 <br />
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