Laserfiche WebLink
BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE /O /3 l0 <br /> Expiration Date: L9 3 <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 /> Ti2Z Dogs s it bi'eta <br /> Business Name/DBA: _ /4' Corporation Name: y�� yis�conducted at <br /> Business Location: aoZ �C�a ��o /4, /7d � �/'/��n��O&Q-t//�./��4�— <br /> Business Mailing Address: r'7 .t &P� _Po l�2U//� MA Q dx_ <br /> Business Type: Q Business Telephone: .SU� 7 Il 23 3 <br /> Home Phone: Email Address: <br /> by the following named persons: (� <br /> � Owner Name Owner Residence <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 /> taxes as required under law. <br /> dig y� 9?44 y <br /> ture of authorized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> "Your social security number will be fumished 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 Commonweahh of Massachusefts <br /> BARNSTABLE ss � f DATE I 6 <br /> Personally appeared before me the above-named A)10 Pand made oath that the foregoing statement is <br /> INC, <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 fouryea7.,,,.,Cr <br /> so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> n <br /> Nota Pub! <br /> • SEAL JASEPH L.MAaUCiMRL1, <br /> CaIYiOa tfay8�etw <br /> bN t?o nd v artEapueo <br /> Octabttr25ADg- - <br />