Laserfiche WebLink
BUSINESS CERTIFICATE#09_��7_� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE Sia(o) og <br /> Expiration Date: December 31,-2013 <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 <br /> nA �' L int(Na-Sest!( pC ICS ky- DBA is conducted at <br /> Business Location_ R N�c�\mac. o.f� t.JAV� N,Asko q'%_ �A& mo49 <br /> Business Mailing Address:spo0. <br /> Business Type:k'ac\aSCg,� Business Teleplione:51ZA-_4111)_14 N <br /> by the following named persons: <br /> FULL NAME RESIDLNCL ' - <br /> �be C=ow N .\ KuR-Sh OSiSS. F-sato49 <br /> Home Phone: -)OS - QVY)_I(Atp <br /> I certify under the peZ�ese jmy that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes as r e <br /> e attue orau4Vized agent *Signature of authorized agent - <br /> '5 W] 1%42—% <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> ((`{{�� In case of emergency rr(( <br /> NAME:7tAjq A0. _ TELEPHONE NUMBJC62 )`��� <br /> Alarm Company: ."_tv 'c-ykys <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 sub iect 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 U/ <br /> Personally appeared before me the above-named k 6044M a Met i and tirade oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this section shall be in force and effect for fou-years from the date of issue and shall be renewed <br /> each four years th 'c so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Si,ned <br /> Notary Public <br /> SEA! <br /> �c 1A i4-I 26 r (P <br /> Commission Expires: <br />