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' rib <br /> .� <br /> • BUSINESS CERTIFICATE# 10- i3� <br /> THE COMMONIVEALTH OF MASSACHUSETTS <br /> • TOINV OF MASHPEE <br /> DATE 11 110 <br /> Expiration Date: December 31, 2014 <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 /> -� ��}'�� IAc. DBA (ZEMAX is conducted at <br /> OPV sinessLocation: Ul Fal.n 4k ('woad r Mnf Q NA � 'k ly(3 <br /> l(Business illailing Address: SiW-4 <br /> Business Type: (CreMAX re:l ethk 6Ak..:jt` Business Telephone: <br /> Hornc Phonc: s`0�- vISA' 3�L3'L <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> r4i-C I~ Nel*ete, 11 clp'll b Srw �D>fD>f aofi mA o4$ <br /> F04 _ ;n-A Oz-7 <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 /> xes as requir under law. <br /> `Signature of a tthorized agent 3- ; ature of autTiorized figent <br /> Zo3- oVC 7-3o <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> p <br /> NAME: fz')) lAeP,Sern TELEPHONE [ t BER: S -7g4_tg1C <br /> Alarm Company: ri i3 <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 Afassaclufsetts <br /> BARA`S'I'ABLE ss /� ,�\ 1 1 DATE SLI <br /> Personally appeared before me the above-named t t.e-M 149 ly.¢1q L-SC'n 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 s ng as such business shall be conducted and shall lapse and be void unless so renewed. <br /> r V <br /> �gred <br /> 1.--, Margaret C. Santos <br /> S ` }SjI NOTARY PUBLIC u y Public <br /> Commonwealth of Massachusetts Q <br /> �U- My Commission Expires Sept.24,2010 <br /> Commission Expires: <br />