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BUSINESS CERTIFICATE#_'o Vibk <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE 1-4 -{a )- a_01 0 <br /> Expiration Date: I1 6,* <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby d1eAc'larne'(,s,)�that a business under the title of �/ �" L ,p <br /> I wN f [&L4 w1O I U1 DBA V Ipp�//S '-Ve r4 '1A�1(.l'l^aall7 rZ� is conducted at <br /> Business Location: 1 SO�()Y1ilC-& l/Viye, MASkixe MA of Vlq <br /> /n� L T I t <br /> Business Mailing Address: vl S60 r?akeyy, e— SyP!�.� WR 62,&4q <br /> Business Type: ee 3� In e'llc q Business Telephone: 60V 34 - `C) �T Z <br /> Home Phone: 5L J <br /> by the following named persons: <br /> 171 L1bullyayA iLAA q RESIDENCE <br /> Sbinna�cr i�r . UL�asl�e ryvlA 0?.+o4q <br /> 1 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 /> s as required under law. <br /> *Signature J authorized ag t *Signature of authorized agent <br /> O13 +0 0;A,401-1 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> ``,,__ n ��J ` I In case of emergency <br /> NAME: L)by) V ►iv�Ayy+!�tJO1A TELEPHONE NUMBER:SL)?j" T8.1 - ISU L <br /> Alarm Company: IV Yf J <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 mel 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 /> BARNSTABLE ss DATE 1 -a o 1'O <br /> Personally appeared before me the above-named \ C'4 ��mYvGU d 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 yea s thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> tied <br /> Margaret C. Santos lotary Public <br /> SE °O c NOTARY PUBLIC p <br /> Commonwealth of Massachusetts "\ -aK-30 <br /> My Commission Expires Sept.24,2010 Commission Expires: <br />