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BUSINESS CERTIFICATE#09-30 <br /> THF. COMMONWEALTH OF MASSACHUSETTS <br /> TO WN OFMASHPEE Dpl <br /> DATE <br /> Expiration Date: DeeeinbeY 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 decta_ie(s) that a business under the title of <br /> CQI�,ffL1 DBA��-lam u l`�n/��neC-� ,n1�4/'��`-t is conducted at <br /> BusinessLocalio,: ,r��l � � �Q� r '�)l0 JL y (' <br /> Business Mailing Address:��- ,tA-A �JQCJL _0�- Y 1 l CX -b-, <br /> Business Type: � ,�I� C.tVY�Q�IJ�Q�I� Business Telephone: <br /> by the following named persons: <br /> PULL ME <br /> L-4`-j <br /> ' _RES>���>� r <br /> Home Phone: d�'S� <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 /> taxes as required under law. <br /> ature of aufS fized agent *Signature of authorized agent <br /> i©a cT_ <br /> "*Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> /� 1_ �Oj Q In case of emergency s_ �1�69 <br /> Man"1 ' 101 n" l_ah `�u�5 �` TELEPHONE NUMBER: J O� -7-39 o` <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. "chis request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARA`STABLE ss ^^ DATE <br /> 12a 92Ct�? <br /> Personally appeared before me the above-namBnGe <br /> ed Jn � -t" da bf-c f 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 such business shall e conducted and shall lapse and be void unless so renewed. <br /> Signe <br /> OMy <br /> Margaret C. Santos dNt- ar ,Pubhe <br /> SEAL NOTARY PUBLIC <br /> Commonwealth m Massachusetts # -A o <br /> Commission Expires Sept.24,2010 Commission Lxphes: <br />