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BUSINESS CERTIFICATE# 2,010, t 3 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> T06VN OF MASHPEE <br /> DATE <br /> • Expiration Date: <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 abusiness under the title of <br /> Business Name/DBA: lRP7�� 0OR..t� USE Corporation Name: TAgk )�_JA5D� ���� is conducted at <br /> Business Location: `S ;g5P11��1 <br /> Business Mailing Address: I c ,L6 � � i M�5 P(�E <br /> ��w <br /> Business Type: t` 15{ F Business Telephone: <br /> p ! �qG <br /> Home Phone: Email Address: 5 talc\VJ``-`t ' -Z C 0. koz)_ ( er <br /> by the following named persons: <br /> Owner Name �i 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 req ced 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 /> In case of emergency <br /> NAME: Za cA TELEPHONE NUMBER: <br /> Alarm Company: <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine Cvhether 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 BARA`STABLE ss ``'' /1 DATE O <br /> Personally appeared before me the above-namede-T-A AA 4 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 /> Notary Public <br /> SEAL - <br /> • Nli.` . <br /> . ronanwpuNnotst toY f <br /> My PovuPm tE <br /> ye <br /> 20OiVbW23, E <br /> 13 <br />