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', ,1 •� BUSINESS CERTIFICATE # � ' �.3 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> T06VN OF MASHPEE <br /> DATE Ills-If t <br /> • Expiration Date: 'V L?A Z Al <br /> Li 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 th title of <br /> M0.ShPee Tvle�pet.l�c- <br /> Business Name/DBA: kk0 CTM-% "I—Corporation Name: r��� is conducted at <br /> Business Location: . 5 �c 1—c ��t�O�tT�/1 aO& �=3 I M a<Sh Pee t MA\- o,�; C.o(-1`I <br /> llusincss Mailing A(ldress: <br /> Business"1'ypc:�1C�brG. EJ,-�C— M o-SSLI�{e Business Telephone: <br /> Horne Phone: �o S3� �3� s Email Address: ✓1 S+f I C✓✓e �3 @ �/e✓I �'�1. <br /> by the following named persolnls: Q A / _ <br /> Lume�ne�f. i F'l t�il�V�e A's- OtrrMR�dtAn'��n I' d-'' �C(/vvQSt/` <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes a equiied law. <br /> a- <br /> natutle 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: 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 rax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license susoension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter G?C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> RAIZ\STABLE ss n DATE /0'// <br /> Personally appeared before me the above-namf, >ed k1lo4 %�lf;S ey- rZ and made oath that the foregoing statement is <br /> 111.1e. <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 th 'cafer so to ^as uch usiness shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> Sfs.4L <br /> JOSEPH L.MWAZLUCCMELU,JN <br /> co1(I'lo"Aq ,MAS t 'x fires: <br /> u <br /> W==11 <br /> OtTaDa 2S,PQt7 <br />