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„ <br /> BUSINESS CERTIFICATE#109- <br /> THE COMMONWEALTH OF MASSACH(ISETTS <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 /> mile 'Wed hereby declare(s) <br /> that a business under the title of <br /> BAAI I Y (1�� <br /> (^'l.J-�' DDBis conducted at <br /> Business Loc ?,C--J C 1 VR tG ti+n t �� 1 <br /> Business Mailing Address: �( <br /> Business Type: Business Telephone- <br /> by the following named persons: <br /> FULL NAME RESIDENCE Home Pho : 1 <br /> I certify u der the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax retams and paid all state <br /> taxes as �juire <br /> *Si re of 17 agent *Signature of authorized agent <br /> ”*Social tyNumber(Voluntary) <br /> or Federal Identification Number <br /> In can of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> *This license will not be issued unless this certification Is signed by applicant <br /> **Yom social security number will be fiunished to the Massachusetts Department of Revenue to determine whether you have met tan filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be sidledto revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A, <br /> The Commomveafth of Massachuuseas <br /> BARNSTABLE ss DATE Ce.--2c-- e20C>� <br /> Pensonally appeared before me the above-named_14 nil Vl e� I I and made oath that the foregoing statement is <br /> true. d <br /> A certia a issued 10 accordance with flus section shall be N force and effect for four years form the date of issue and shell be renewed <br /> each four years then er so to i business stall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> otary Public <br /> IF A4<'3010 <br /> Margaret C. Santos Commission Expires: <br /> r NOTARY PUBLIC <br /> • Commonweafth of Massachusetts <br /> Wy Commission Expires Sept.24,2010 <br />