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BUSINESS CERTIFICATE#o9- Q � <br /> THE COMMONWEALTH OF MA SSA CHUSETTS <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 declaiee(s)that a business uundeei the title of <br /> DBA is conducted at <br /> Bits inessLocation: 7(vo <br /> Business Mailing Add�dress1: tS'li/1% <br /> Business Type: (iL�/ e 562. (�!(y/'� Business Telephone: ✓'��� % / �7 �� <br /> by the following named persons: _. <br /> RESID�E�CE!//111 <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 /> as required unde <br /> *Signature of authorized agent � *Signature of authorized agent <br /> --7 <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> Sp /-PIn case of emergency <br /> NAME: C. <(� /�� C�7 ?�D TELEPHONE NMBER: � � <br /> U <br /> Alarm Company: / /d/7e <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 cr 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 /> The Commonwealth of Massachusetts 11 <br /> BARNSTABLE ss DATE t-Iub-1 <br /> Pei sonal ly appeared before me the above-named Fd.WaAr Gaq I u)o and made oath that the foregoing statement is <br /> true <br /> A certificate issued in accordance with this section shall be in farce 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 be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> }fin Marie. L( eke. <br /> Notary Public <br /> M 16iik l OCKE <br /> SEAL NotaryPubllc <br /> Commormealih of t lassachuselis O'IA <br /> ��510 9 <br /> My Commm—,ion Expires Commission Expires: <br /> SWember 25,20M <br />