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BUSINESS CERTIFICATE# 10 <br /> THE COMMOIVIVEALTH OF MASSACHUSETTS op Ce <br /> • TO IVN OF NIASHPEE <br /> DATE <br /> Expiration Date: 4 <br /> conformity wi�visions of Chaptee a hundred and ten, Section five of the General Laws, as amended, the <br /> and . igned herre��by declare(s) that a business under the title o <br /> r / I ��1C��QnTSB / �1� �T114Z to 1./J <br /> OCIMis conducted at <br /> Business Location: ve <br /> Business Mailing Address: !�Gtr/ Q �[ /- pn 2 <br /> Business Type: ;I IM ,rrinemA Business Telephone: / / 7 'J.>6 ^ 5,S J <br /> by the follow�ingg named persons: ,/ L/ / <br /> 114 FULL NtM <br /> IC 1,4 r Q <br /> Home Phone: _54-53q — I M Email Address: /ila �(V1oVAeVaL-?Cq� ••ln� <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 /> uses as requrr dlund er liL�*�Signamre o athor zed agent email address <br /> "Social Security Number <br /> or Federal Identification Number <br /> // I-I In case of emergency `�/,� Q <br /> NAME:I� I tM '��OPCJ TELEPHONE NUMBER: ( I / (/� <br /> Alarm Company: <br /> rt°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 /> QARt\'STABLE ss U �r DATE <br /> Personally appeared before me the above-named tt4-T e4U `-'(j SY/q- 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 th reea/fftte(r�soo long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed ��'Gbcde-'�a�+b <br /> • IZ a , <br /> SEAL !OS"L-MAM=HELLI.JR <br /> Notary=n+r <br /> MY COmtN88[n niurm. <br /> 23,90111 <br />