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2009
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Last modified
11/11/2017 3:50:23 AM
Creation date
11/13/2016 10:16:31 PM
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Box 038
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�- <br /> BUSINESS CERTIFICATE # 10- D 46 <br /> TFIE COMMONIVEALTH OF MASSACHUSETTS <br /> • TOINV OF IYIASHPEE <br /> DATE / a5 lQ <br /> o2oi3 <br /> Expiration Date: December 31,E <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—DO`^Iy _1D G%el* is conducted at <br /> Business Location: 9 1;ef.4504S A_AJ <br /> Business D'lailing Address: 9 -me.45JR.b W <br /> Business Type: 6 — COmm cptc.4: Business Telephone: S08 477 • 3 SOO <br /> Home Phone: a$- -774 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> Tamar �. o`(ZwRr.E 9 TREASot26 w . <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 /> res as r red w er I <br /> *Signature of audWrized agent *Signature of authorized agent <br /> 032 44 b%I9L <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: o fRoyAkx:C TELEPHONE NUMBER: 6Z 774 & S 37 <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 /> Br\1L\'STABLE ss <br /> The Couunonwenith ofAlassnchusetts <br /> DATE <br /> � / <br /> � <br /> _1`4 <br /> Personally appeared before me the above-named / '[ d��S V rl BOJ �Kr and made oath that the foregoing statement is <br /> true. <br /> A certificate issued ' nc i i thsecti n shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years thereaf o long as su usin s a conducted and shall lapse and be void unless so renewed. <br /> Sign <br /> . NOMly jgMEE, <br /> SEAL lI I� COMMONWEALTH OF <br /> pires <br />
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