Laserfiche WebLink
- - - - BUSINESS CERTIFICATE 3109 643 <br /> 7'IIE COfl9A90n'Nq,,'AL%'H OE A9ASSACHUSE%'%S <br /> DA <br /> Tol.I�n,of a�ASHVE� l <br /> Expiration Date: DeCeinher 31, 2013 <br /> In conformity with the provisions of Chapter one hundred and ten, Section live of the Gencral Laws, as amended, the <br /> undeiaigne rereby declare(s) that a business under the title of <br /> D13AA is conducted at <br /> LAW I <br /> Business Location: <br /> Business Mailing Address:''�_Fy,� pdam <br /> Business Type: Business Telephone:y o 1J 'l5 3 <br /> i <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Hone Phone: - <br /> I certify under the penalties of perjury that 1, to the best of illy knowledge and belief, have filed allstate tax returns and paid all state <br /> =s as requited under lankKP , ' <br /> h <br /> i nate o ithor d agent *Signature of authorized agent <br /> /1 ad Qk( L /A - <br /> *"Social Se a ty runbei (Voluntary) - <br /> m Federal Identification Number <br /> In case of emergency - - - - <br /> NAME. TELEPHONENUMBL^`k5 ��o �� 3 <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 delennine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request .. <br /> IS made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Connnonrnealth of Massachusetts _ <br /> BARNSTABLE ss DATE J /3 <br /> s> // <br /> Personally appeared before me the above-named -40 err- and made oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this section shall be in fence and effect for four years from the date of issue and shall be renewed <br /> each four y arsthereafter so I as such business shall be conducted and shall lapse and be void unless so renewed. <br /> S� <br /> r <br /> ERH L_ L , <br /> Igota'Nbp,41p' . i <br /> SEAL COMMONWEALTH OF SACHUMM <br /> M Commission 6 'ret <br /> es: <br />