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BUSINESS CERTIFICATE to 09-047 <br /> TME COMNJONIJILAL TFI OF M14SSACII USBTT S <br /> TON/Al OF AIASIlPEE DATE CC/, <br /> Expiation Date: Deceniher 31, 20.73 <br /> Lr conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> Un <br /> d <br /> ers <br /> ig <br /> ned Ih/crcby declare(s) that a business under the title of <br /> /Ik�Y�l SrtcC �n� Cons �LL . DB/A __. _ is conducted at <br /> Business Location: /O g 6G�0 R <br /> Business Mailing Address: M @// p <br /> Business Type:—/,A 1 e CXC4Uat-eo(1 Business Telephone: •SO'S— 1777' <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> 1� R Fie l� .3R fo�.r �'l /h( . SatiC1, <br /> 7. � (� I33o <br /> Home Phone: <br /> 1 certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax retains and paid all state <br /> t uauieof <br /> as required under law. - <br /> �� - � <br /> *Jrgauthonzed agent °Signahue au aorized agent <br /> L - 353 y9R0l <br /> *Social Security Number(Voluntary) - <br /> or Federal Identification Numbei - <br /> - In case of emergency - - - - -- <br /> NAME: TELEPHONE NUMBER: <br /> . Alarm Company: /UC�•ler S_�ar 3a-1/V&3 <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 mct tax fling 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 /> The Coln lit mnvealth ofA4assadmsells <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named and made oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this section shall be io 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 be conducted and shall lapse and be void unless so renewed. <br /> Sighed <br /> 10 N Nli* <br /> SEAL MMONty rrUC"�: <br /> SAComm <br />