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BUSINESS CERTIFICATE <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO PVN OF MASHPEE <br /> DATE a �d <br /> Expiration Date: 3 oLd <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 <br /> under the title of M 1 p <br /> Business Name/DBA: Fyer Ar� /'tUra ISpCorporation <br /> `Name: ) I�fi'N�/ I�t�$. �C- is conducted at <br /> Business Location: r0 3 C' e- Jz'ao /"` IM o a ' <br /> Business Mailing Address: �' (^� ,tr— Jti� 0.1 n ee 0 a` <br /> It of <br /> Business Type: Business Telephone: C, t{ FS 11--- 1 DO `J <br /> Home Phone: C)09"&H8'- I OU•i Email Address: II✓I����@YG-Vr00 COm <br /> by the following named persons: <br /> Owner Name .Owner Residence <br /> neyitn a��� �P✓I �ckvn ✓t /l1Cl �Q'i e R' lephycd M SI�e,M oaeK`i <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 /> *Signature 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 /> ((�� <br /> f In case of emergency <br /> NAME: DeL tj I /^"n� TELEPHONE NUMBER: (Ad )Got- <br /> Alarm 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 Massachusetts <br /> BAILNSTABLE ss DATE I U a <br /> Personally appeared before me the above-named 69 6r,-lJ ALW/'IJ and made oath thai the foregoing statement is <br /> true. <br /> A certificate is 'n 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 so ng as such business s I nducted and shall lapse and be void unless so renewed. <br /> Signed 2 <br /> Notary Public <br /> SEAL <br /> -[ <br /> W)77 <br /> uonwFunt of UAS <br /> MM Conunsw 6piras <br /> 0900et23,1019 <br />