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n; BUSINESS CERTIFICATE # 09- - ' <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 / -r- <br /> BaA-b.-� L LX$S DBA 77v-9-- /Zl�b Ivor l�iw��✓ is conducted at <br /> Business Location: 7 0.r�2 (- e�� aUb <br /> Business Mailing Address: �' a' //d ox 1-14 OZ 6 V 9 <br /> Business Type: L"E�1DC..,Zft!'i P C,6>rCrh�✓L Business Telephone: -5-0 F, r O 6 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Ftp L - Ut� ss -7727tiir,�.4�rS�. ¢Zo� <br /> Home Phone: <br /> I certify 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 /> axes as r Hired under law. <br /> -'7T,Ti`"ilrKre o ,, tthorized agen *Signature of authorized agent <br /> 0.30 - 3t -0/62 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: 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._LicenseeswhoSail to correct their-non-filing or delinquenc_y_will be subject to license susuension 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 n DATE <br /> Personally appeared before me the above-named 6 r ekc/ `U ag� G�G 5 S 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 fmfour years from the date of issue and shall be renewed <br /> each four years thereafter so long as such busines all be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Margaret C. Santos � �"°o <br /> Notary Public <br /> SEAL NOTARY PUBLIC <br /> Commonwealth of Massachusetts do (b <br /> o <br /> ionExpires Sept.24,2010 Commission Expires: <br />