Laserfiche WebLink
t <br /> BUSINESS CERTIFICATE# `7 <br /> THE CONIMOtVFVEALTF!OF MASSA CHUSETT S / <br /> TO FVN OF MASHPEE <br /> DATE Al <br /> Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and telt, Section five of the General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of t/ <br /> Business Namc/DBA: CorporationName: /`�✓ E41 s=��Y u—G is conducted at <br /> Business Location: J-0 NoAL9 57— ��,7 5`h//Q e! ,2� off"& rfT <br /> Business Mailing Address: 010 80K !y 9 T �/ �p�f�J A�'f 016 `/� <br /> Business Type: dOtJ/7 OU E Business Telephone: �u �-7y�d� <br /> T�txJ(CL'2y ycce5 oe/ES / C <br /> Home Phone: Email Address: / )P 60 Jt Q Ue el ACD '05T/V<j <br /> by the following named persons: <br /> VIS -�V <br /> wner Name <br /> Owner ItcsideJp cc &49-1 / 441 1O/ <br /> Zo <br /> A219ALE <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 /> xes as required under law. L! p 7 <br /> uo <br /> na re 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: S' p ��% /�� TELEPHONENUMBE 08 07 _ tq�� <br /> Alarm Company: (_.Pl v—CJ <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 gill be subject to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> BAIL\*STABLE ss <br /> The Commonwealth of Alassaclutselts DATE 1 110 IV <br /> �^� <br /> .�/y-� <br /> Personally appeared before me the above-named . V'A` �a ' " y-' 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 yearser atter so long as such bu iness sshhfalll be conducted and shall lapse and be void unless so r newed. <br />! Signed ..�-F—67 r`�L �• <br /> N tary Public <br /> SEAL t fy a0 <br /> �����••° HELENE TALLM <br /> i l✓'r.y�1•. <br /> 3F' :E Notary Public -State of Florida Commission Expires: <br /> q, a My Comm. Expires Jan 14, 2014 <br /> �hy. 0 Commission i DD 952848 <br />