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BUSINESS CERTIFICATE #08-32 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: Deceni 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 a business under the title of jj (� <br /> 3� e'— 1 ,W� t�ey�illo p �y cy� DBA WCA► V 7k��, 0kaktt1 MoAk is conducted at <br /> Business Location: Z`1 0 nI ' C A i',,(_LL5, KQ-1 <br /> Business Mailing Address: Zq s✓n �1�1{ ,l.tU Q� <br /> Business Type: Business Telephone: S31 —! b44 <br /> by the following named persons: <br /> f� ;nU �LME ¢ RESIDENCE <br /> Home Phone:Ad& - - <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 /> *Signature of authorized ag t *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> 1_ In case of emergency It <br /> NAME: S 1 UAV N �c wl y 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 tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law, Chapter 62C,Section 49A. <br /> The Coovm <br /> noveatth of Massachusetts <br /> BARNS"TABLE ss RDATEA1aAJ 0a <br /> Personally appeared before me the above-named �Ly I o Su,i�, and made oath that the foregoing statement is <br /> nue. <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 so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> �ned , <br /> Deborah F. Dami Notary Public <br /> SEAL.- _ NOTARY PUBLIC <br /> V Commonwealth of Massachusetts <br /> My Commission Expires July 24,2UU9 Commission Expires: <br />