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I -t <br /> f <br /> 11 BUSINESS CERTIrICATE# ZD, /3 <br /> TTIE COMMONWEALTH OF MASSACHUSETTS <br /> TOIVN OF MASIiPEE <br /> DATE <br /> Expiration Date: 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 't II <br /> Business Name/DBA: Corporation Name: WAMpkJp_y. LL,,C'_ is conducted at <br /> Business Location: <br /> Business Mailing Address: 2S D;2dLW ST, OASNtiD,� <br /> Business Type: (fADA-AT2f0-LTOZ BusinessTelephotic: : M-4_7_7—I000 <br /> Home Phone: Email Address: MAQ� WA/�tPla90ZX• Go6i1 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> MAP-V— -HP0,00t0 2S DeJQtiI ST, kAAS14FRL— = <br /> I certify under the penalties of perjury that I, to the best of my Icttowledge and belief, have filed all state tax returns and paid all state <br /> taxes as required under law. <br /> 5cp — z Zq 09G I <br /> gnamre 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: PAOL,rck, S TELEPHONE NUMBER: .Sa S-410 S- 5!Y O <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 /> BARu\'STs1BLE ss DATE Na✓ St ZOIp <br /> t <br /> Personally appeared before me the above-named mr L' 4 and made oath that the foregoing statement is <br /> true. <br /> A certificate issued i ante 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 ong as sue business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed f <br /> DebW,ah Da - N mie n ' <br /> SVAI a� NOTARY ao <br /> LIC <br /> �pmmonweatth o1t NI��usm�� <br /> � y0n�� Commission Expires: <br />