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ti <br /> BUSINESS CERTIFICATE#09-_� <br /> `� wl`7 <br /> �e 4 THE COMMOTOI WN OF MASHPEEMASSA CEUSETTS <br /> DATE 6'!'1ea00 <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 /> DBAr� p _ cp is conducted at <br /> Business Location: <br /> Business Mailing Address: II �u.l S -e c''9 6 4-6(! <br /> Business Type: o U'0. ' h Business Telephone:�p �`t'77—022/ <br /> by the following named pens ns: <br /> e r FULL NAME �T t ( tEl�RE It CE�/fi t PP N/1 l I <br /> Horne Phone: 6-,YV- 477-022 <br /> I certifyunder he penalties of perjury that T, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> faxe as requi e r'der la <br /> nature of authorize a it *Signature of authorized agent <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> / In case of emergency <br /> NAME: 6146 Lo G2cr 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 in tax <br /> payment obligations. Licensees who fail to collect 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 <br /> BAI2NSTABLE ss <br /> DATE S6ne-- 16 aOG� <br /> /� <br /> Personally appeared before me the above-namhed rrur and made oath that the foregoing statement is <br /> true. <br /> A certifi ea issued ii ccordance % th this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years then Cl so to g as s ch bus' ess shall be conducted and shall lapse and be void unless so renewed. <br /> Signed d„L/ <br /> • otmy,�ublic <br /> SEAL <br /> _ Lo <br /> Commission <br /> Commission Expires: <br />