Laserfiche WebLink
�s. <br /> BUSINESS CERTIFICATE# 09- 0 71? <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE g//y %D� <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 /> / <br /> DBA Cp 004- �f�'�y+6�?Z' is conducted at <br /> Business Location: ri <br /> Business Mailing Address: 't^�- <br /> Business Type: /p)e F 4eega"r4,4q Business Telephone: 506 lop s'S'g7 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> CwNy/1 MCG, la tun 4+e P� <br /> Home Phone: Sod S.3�7—Z7 7 <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 /> 'W,atme of authorized agent - *Signature of authorized agent <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. 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,Secnon 49A. <br /> The Commonwealth ojMassachusetts <br /> BAI2NSTABLE ss DATE <br /> Personally appeared before me the above-named 1 len yVj �< y1.Yl and made oath that the foregoing statement is <br /> [rue. <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 thereafter so long as <br /> such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed Al <br /> Y� 4NMargaret C. Santos <br /> NOTARY PUBLIC Notary Public <br /> SEALWMyG <br /> Commonwealth of Massachusetts <br /> ommission Expires Sept.24,2010 /J_a p _a yld <br /> Y I Commission Expires: <br />