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h BUSINESS CERTIFICATE# ton 13 D <br /> 1 <br /> THE COMMONIVEALTH OF MASSACHUSETTS <br /> TO PVN OF MASHPEE <br /> DATE �V <br /> • Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as am nde t 8 <br /> undersigned hereby declare(s) that a business under the title of 2 <br /> Business �.�' "VNanre/DBA:A„p�� d Q 1 &Id's Corporation Name: 6y Lc' �u'�"� U- i is conducted at /vl n <br /> Business Location: (k5 k p�-- �M�n.�yl.S� �� --�u'U'�# /0 i 0/ I M 92 sh4 - IN <br /> g A"; OLX Dew+ � Cw�oraa•c &wk�t)I.ive hl.tlVI "A;-";10) 6�9 <br /> Business D'Iailin Address: <br /> Business Type: 2Z `� Gd�ThFi��� Business Telephone: <br /> 63/ 71, x7 /l�f T <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 a required u appell <br /> , dent - Tax ii- 35 //1763 <br /> ignature of auhterdzed 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 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 Alassaclutsells <br /> BARt�'STABLE ss Lisa Cappell DATE ll l Lo <br /> Personally appeared before me the above-named Vice President - Tax 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 years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. ' <br /> Signed ���� <br /> KATHLEEN ANN GOULDING <br /> Notary Public <br /> • SEAL Notary RMIC,o.01 O4806fNewYotk � � 7� Zpi� <br /> ��O�1G��06kl�nry Commission Expires: <br /> CtlmtitbOw EVIres March 26,2014 <br />