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BUSINESS CERTIFICATE# I o- S� <br /> THL COMMON6VEALT H OF MASSACHUSETTS <br /> • T06VV OFA7ASHPEE <br /> DATE tY�-t-tL'n \X1 ac>LD <br /> Expiration Date: rf\'n' ,`, %i 3GI,­t <br /> In conformity with the provisions of Chapter one hundred and ten, Section live of the General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of <br /> >�6Nrrz0C--\ DBA CAAOCerSCk 00('.N I is conducted at <br /> Business Location: LX c n���« tpe4 0"� X <br /> 71.5 �l <br /> Business NIailin Address: P O (�pk Z3Z5 <br /> Business Type: ---tt`S1Ltn,,C11flre taco� p Business Telephone: <br /> Home Phone: <br /> by the following named persons: <br /> FU NAME RESIDENCE <br /> IJ <br /> to penalties perjury that 1, to the best of my Icnowledge and belief, have filed all state tax returns and paid all state <br /> - ti d and r law1te o gent *Signature of authorized agent <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME �A\t �C1n TELEPHONE NUMBERN'�b u ) <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 BARNS7'ABLE ss DATE TGu.8n (y ?O 1J <br /> Personally appeared before me the above-named VO\ti 30n ?,VCLZ tis cy-) and made oath that the foregoing statement is <br /> true. <br /> A certifica ssued in lccordancwit oetrn shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years rea t s Ion as usiness shall be conducted and shall lapse and be void unless so renewed. <br /> •Signed <br /> LNI <br /> Q Margaret C. Santos INotary Pbhc <br /> SEALNOTARY PUBLIC <br /> Commonwealth of Massachusetts �i - a�C - a--° <br /> My Commission Expires Sept.24,2010 Commission Expires: <br /> i <br /> I <br />