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BUSINESS CERTIFICATE# 10 -3 <br /> • THF. COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEF_ ' <br /> DATE \ — l\-aoli 0 <br /> Expiration Date: December 31, 2013 <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 / L <br /> ANNtN�t Hou DBA <br /> k_ootLejnteln �47bjL is conducted at <br /> Business Location: ?5 51117✓•Qi <br /> Business Mailing Address:___�G[ P <br /> Business"rrpe:_ /� N Business Telephone: .-00 44 I7 -43 3154 <br /> by the-fallowing named persons: <br /> FULL NAME RESIDENCE <br /> Ghoxn,nq Nou 35 5AoY2 AfjOeMGfl <br /> YY2s� Mgs�e_e/ a <br /> Home Phone: SO$ 4.77 23�i j' Email Address: b au Abid N I !V 9 A�62CA , 6i19M <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> '•taxes as required under law. — <br /> *Signature of authorized a t P, email address <br /> Social Security Number <br /> or Federal Identification Number <br /> nn /1 In case of emergency <br /> NAME:��fP0 <br /> _9A ' 0L2n -e U TELEPHONE NUMBER: �W V77 z33�4 <br /> Alam 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 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 Mnssuchusetts <br /> BARNSTABLE ss /^ f� DATE 1' 11-'�I t� <br /> Personally appeared before me the above-named CALLA 1'� /lou and made oath that the foregoing statement is <br /> true. .J <br /> A ceniticate 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 thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notar•Public <br /> • SEAL JOSEPH L.MA22UDCKEll1,J <br /> v►v®a:m"SAertuaEne <br />� wrram�t�t�e` <br />