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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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Box 037
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__---- - - - BUSINESS CERTIFICATE€k 03 -,Ir <br /> THE COALVIO.NWEALTHOFMASSA CHUSETTS <br /> T06VIVOFMASHPEE 2 qp <br /> • DATE <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 liere_by declare(s) that a business under the title of <br /> BAA WI fkp <br /> DBA 61 CV COd is conducted at <br /> Business Location: <br /> Business Mailing Address: <br /> Business Type: l tJd�f�/L�'�,t.C(_-Q (j _ Business Telephone: J��` a aqq "I - <br /> by the following named persons: - <br /> FliLL N. v�.� RESIDE["E�` <br /> M -C)N� f/� Ido G?��uv bx� <br /> Home Phone: S0V , `�rr�� 28. 012, .0pp• -3(92. 0pJ +& <br /> I ceruf% under the penalties of perjury that I. to the best of my knowledge and belief, have filed all state tax returns and paid ail state. <br /> [ase r�qd red under I v. <br /> Snananue of authorized agent *Sum2n re of authorize agent <br /> ,,)03 3(s (3 5ri3 <br /> "Social Security dumber(Voluntarv) <br /> or Federal Identification Number <br /> 1� p'r/, Q� In case of emergency C�1 <br /> NE Uk/ tik IAC W(1 TELEPHONE NUMBER: `��� q2e `'� <br /> AM1 Z N <br /> .alarm Company: - �7�• 23f -W <br /> *This license will not be issued unless this certification is signed by applicant <br /> —four social security number will be furnished to the Massachusetts Department of Revenue to determine w-nether 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 ofMassachusetts BARNST.aBLE ss DATE DA- <br /> Personally appeared before me the above-named A Ksetv v 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 fou ars thereafter so Ion as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • Notary P blit <br /> SEAL �i° Margaret C. <br /> Santos <br /> q 0gmmonwe2Ch o(IvUBdcC SBItS Commission Expires: <br /> Ny Commission Expires Sept.24,2010 <br />
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