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i <br /> BUSINESS CERTIFICATE #09 <br /> THE COMMONWEALTH OE MASSACHUSETTS <br /> TOWN OE MASHPEE <br /> DATEo2 / a Cr/ <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 declare(s)that a business under the title of <br /> DBA A"Ilk ��C-G /�Q✓✓�T/li 1 is conducted at <br /> Business Location: G % pp 4R.P'7f6L�j <br /> Business Mailing Address: <br /> Business Type: Business Telephone: <br /> by the following named persons: <br /> fh2G�� RE2. <br /> Home Phone: <br /> I certify under the penalties of perjury at I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes r qui ed u W. <br /> WFIt <br /> Ire of autlt razed age *Signature of authorized agent <br /> -1.3/- VP- 32V <br /> **Social Security Number(Voluntary) <br /> no Federal Identification Number <br /> �n/,+� U ? <br /> In case of emergency �/ <br /> NAME: li/�'/I/�'�1 Ci/� /c TELEPHONE NMBER /��JJc—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 /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE BO 0--001j <br /> Personally appeared before me the above-named 0-y C'�e�e S 0�—'-mak and made oath that the oregoing statement is <br /> true. <br /> A certificate issued i 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 er after o su�buss shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> A Margaret C. Santos <br /> i NOTARY PUBLIC ltaV Public <br /> SEAL I\�1' Commonwealth of Massachusetts qq <br /> Vly Commission Expires Sept.24,2010 <br /> Commission Expires: <br />