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10 — 06Z . <br /> BUSINIESS CERTIFICATE 9.09 <br /> T//E COMMONI71FAL"I'E/ OF MASSACUUSET7S <br /> TOWN OF MASHPF.E <br /> DATE <br /> Expiration Date: <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 /> MP� C� ,�L�a/– �dDBA Ot KP4 // C nnVP1I t n n1 is conducted at <br /> Business Location: Y/ 1/ /�/A-��Al�1 �//i < ��u//M MQ S �}fC /2-//l Q <br /> Business Mailing Address: �) �i�(. ����1'hL/[/�/'l /u a.23t/.,D,-,,,/� <br /> Business Type: —GGSS / ,SN" NGC Business Telephone: <br /> by the following named persons: <br /> FI ILL.NAME RESIDENCE <br /> A—kyl 1 (la rrr 9/ <br /> Home Phone: <br /> hun th Bei hies of he best of my knowledge and belief, have filed all state tax returns and paid all state <br /> Oe, <br /> t o t <br /> L Signatur of at t orized ag _ *Signature of authorized agent <br /> "Social Security Number(Voluntary) <br /> or Feder at Identification Number <br /> In case of emergency <br /> NAME: �j(Z/ tYYI TELEPHONE NUMBER: :,'i', 'tdd-3c�� 3fCO � <br /> Alarm Company:_ / <br /> *This license will not be issued unless this certification is signed by applicant <br /> "four social security number will be furrdshed to the Massachusetts Deparunent 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 SnSUCnS10n or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. ' <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss /,, DATE <br /> Personally appeared before me the above-n Id ned ��'/�✓ l'a/7t'—�T and made oath that the foregoing statcmcm is <br /> true. <br /> A ccrt is ued i accordan l n shall be in force and effect for four years Bom the date of issue and shall be renewed <br /> each four years It fie so o g as such in s shall be conducted and shall lapse and be void unless so renewed. <br />' ted <br /> Volpry Publi� <br /> SEAL <br /> COt(B71iYiOB,7W0�� <br /> My Commission Eiq*n <br /> February 28.2014 <br />