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MAY-02-2008 10 :25 AM MASHPEE TOWN CLERK 508 539 2892 P. 02 <br /> OH <br /> BUSINESS CERTIFICATE#.Re <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DA"fE����/ / <br /> 'Expiration Date: December 31, `1`a-3 <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 t( <br /> DBA <br /> 1 Sis conducted at <br /> Business Location: C___�o.;�_ �'(�-QC <br /> Business Mailing Address: Ste.,,,.¢ i wsQ-�eev2 <br /> Business Type: ----,aL� o t Business Telephone: 1^1 <br /> by the following named persons: <br /> FULL NAME t, RESIDENCE C <br /> Home Phone: <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.0- _ '�_ <br /> Signature of au rued g nt 'Signature of aed agent <br /> _ 04 -3a5'905� <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: -� QXA— <br /> TELEPHONE NUMBER:— Y <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,Section 49A. <br /> KAAA---�-,c The Commonwealth of Massachusetts c- <br /> f3A NSTAI&E ss _1 ��S'� DATE '�13 O i <br /> Personally appeared before me the above-named J t- Pe v 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 four years thereafter so long as so all be conducted and shall lapse and be void unless so renewed. <br /> e i ess sh <br /> Signed G� L A. A , N C <br /> � otary Public <br /> SEAL m0. �-la t ')-t) l'- <br /> Commission Expires: <br />