Laserfiche WebLink
BUSINESS CERTIFICATE il <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> 7'OIVA/OF MASFlPEE <br /> DATE• �p Expiration Date: L 3d <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declar <br /> 02/6/* <br /> e <br /> �(s) that a business under the title of <br /> Business Name[DBA:: C o/6/ Y H Corporation Name: is conducted at <br /> Business Location:^/390a <br /> Business Nlailing Address: <br /> Business"Type: Ou�9C21 e. Business Telephone: <br /> Home Phone: 01Email Address: � "• ��%'td�t�` _ 'y �O'-'�L <br /> by the following named persons: <br /> //�� Owner 'T <br /> Otrner Resid nee <br /> al5d ' ll/EG koy o'{ E�PL �or9 v <br /> IZ:• S9,UD)L)1e1 Af ops 3> <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 .a i. ed Linde la%%. <br /> ignature of authorized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> r. <br /> *This license will not be issued unless this certification is signet) by applicant <br /> /J ) In case of emergency <br /> NAME: '\�F�EL NEU'RO iJ 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 ofAlassachusetts <br /> B.4Rt\'STABLE ss DATE <br /> /� �-o7a7-o��U <br /> Personally appeared before me the above-named to[Y 'L P 0eyo✓1 and made oath that the foregoing statement is <br /> true. <br /> A certificate i tied 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 thea Iortees-sSus shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> N ary Public <br /> • <br /> SEAL Margaret C. Santos <br /> cs gay ate'/o <br /> NOTARY r.UBLIC Commission Expires: <br /> Commonweall^ •,Massachusetts <br /> My Commission Expires Sept.24,2010 <br />