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BUSINESS CERTIFICATE # 10 -00 <br /> THE COSY,1WIVIVEALTIIOF MASSACHUSETTS <br /> TOIVN OF rYIASHPEE <br /> • DATE 3-aq-10 <br /> mcuJ-, ao�4 <br /> Expiration Date <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, div <br /> undersigned hereby declare(s) that a business under the title of <br /> Qp,.\ LAy,.p-et2T DBA PoPFA C"-a0'S LAuOSCALPtuj is conducted at <br /> Business Location: 41Som P—ye s tt a <br /> Business Mailing Address: Sgrn <br /> Business Type: LQuo SCA A,) 4 Business Telephone: 7714 83(o c)OD(a <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> PAUL L• Up m)otrct— 143 SoMew-3,e PO <br /> Home Phone: Email Address: COPS Lia Cor\cwr , m tT <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 /> 077:771- <br /> `Signature of authorized agent email address <br /> *"Social Security Number <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: TELEPHONE t t IBER: <br /> Alarm Company: <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 subiect to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth ofAfassachusetts <br /> BARt\'STABLE ss �� DATE�.e.� � a'bl o <br /> Personally appeared before me the above-named l QJ� �-- L4-m�2'l 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 reafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> J <br /> S <br /> Margaret C. Santos Notary Public <br /> NOTARY PUBLIC 4- a 9 - �i 0 <br /> Commonwealth of Massachusetts Commission Expires: <br /> to. )My Commission Expires Sept.24,2010 <br />