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1. �.r.. •r �_ - <br /> BUSINESS CERTIFICATE#09 'S9 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE '` <br /> • DATE <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 /�J <br /> �R AA( L✓q L-b ��&NOOL % (<'�2S is conducted at <br /> Business Location: '� / CQ TU /T V �LH I�-/�1 iCE0o� (6 <br /> Business Mailing Address: S tXA - n <br /> Business Type: 4 Ori 6q Jac✓' t' Business Telephone: ,j 0 R7 �2 8 0 0 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> l''f 6AA4 r S T L. 14P©12-R-F 6.147"F <br /> HomePhone:j 6'61(6-3/ 4 "273 <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes as required under law. <br /> 6L)scNao��/yEi2C�Grnr3��. Com <br /> .nature of authorized agent email address <br /> "Social Security Number <br /> or Federal Identification Number <br /> //'•� / In case of emergency p <br /> NAMEI`({f/LYCf L -Pc92� - TEI.EPI30NE NUMBER:,SDf--Pto A5 M <br /> Alarm Company: <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 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 of Massachusetts q <br /> BARNSTABLE ss // DATE <br /> Personally appeared before me the above-named f4nc,`S T " PrP 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 fa ars s o g as such bu ess shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAL Margaret C. Santos <br /> ti <br /> NOTARY PUBLIC -j <br /> I"g'/ <br /> CommonweaHh of Massachusetts Commission Expires: <br /> `a � Ny Commission Expires Sept.24,2010 <br />