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--- ----- - -- <br /> _ BUSINESS CERTIFICATE#08 -©A 7 <br /> THE COA1A1O!VTVEALTH OF MASSACHUSETTS <br /> T06i'!V OF MASHPEE <br /> • DATE Zj; /y'/ WOff/ <br /> Expiration Date: December 31, 2017 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended. the <br /> un�deersigned'hLereby declare(s) that a business under the title of <br /> /4i%/,j/`I ZL Oa1l DBA CSE Co_b �ffZ,� is conducted at <br /> Business Location: ffJ��O�46ZW J aw/;i <br /> Business %Iailing Address: 12910 <br /> Business Type: VfIGLT Business Telephone <br /> by the follovyin, named persons: <br /> FULL NAME RESIDENCE <br /> Home Phone: JZ)g 7-71 p y�0 <br /> I certify under the penalties of perjury that L to the best of my knowledge and belief, have tiled all state tax returns and paid all state. <br /> taxes as required under layv. - <br /> * ignarure of authorized agent *Signature of authorized anent <br /> "Social Security Number(Voluntary) _ <br /> of Federal IdentificationNumber <br /> - <br /> In case of emergency <br /> NATE: TELEPHONE NUMBER: <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 tae filing or tai <br /> payment obi i, g unions. Licensees who fail [o correct their non-filinor 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 Commonwealth oft'lassachusetts <br /> B.aR.\ST.aBLE ss DATE <br /> Personally appeared before me the above-named" L, SPa IG—K-�nd made oath that the foregoing statement is <br /> [rue. <br /> A certificate issued in actor are with s section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four year- t er- ter ng as ch usines shall conducted and shall lapse and be void unless so renewed. <br /> Signed n <br /> • A— CT/c/ <br /> Notary Public <br /> SEAL <br /> JOSEPH L MAllUCCHELU,JR <br /> Comm W usl ns <br /> My Commission Expires <br /> October 25,2013 <br />