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BUSINESS CERTIFICATE# �1 THE COMMONWEALTH OF MASSACHUSETTS TO IVN OF MASHPEE DATE • Expiration Date: Ohl .1014 In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned hereby declare(s) that a business under the title of Business Name/DBA:7W 2Y/C0M1W Corporation Name: is conducted at Business Location: 3 Ess Cx Rb Business MailingAddress: 3 <r_SSEa< �17 Business Type:/�•U3/0 MA/,✓7K1VCiY� ell MrA Business Telephone: 77r/ M 3170 Home Phone: J 60 5.3/A 01Y L Email Address: by the following named persons: Owner Name Owner Residence In. LENe pec 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 taxes as required under law. .nature of authorized agent **Social Security Number(Voluntary) or Federal Identification Number *This license will not be issued unless this certification is signed by applicant In case of emergency NAME: TELEPHONE NUMBER: Altura Company: **Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax j payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. _ The Commonwealth of Hassndiusetts BARA'STABLE ss DATE I Personally appeared before me the above-named and made oath that the foregoing statement is true. 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 each four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. Signed Notary Public • SEAL Commission Expires: i