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i`` <br /> BUSINESS CERTIFICATE#.%�,1X63 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE / <br /> DATE <br /> Expiration Date: 3 O <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 <br /> Ir0 ELoMe <br /> Business Name/DBA: .rm PP.0VE/htEnITS Corporation Name: ^. ^ is conducted at <br /> B.usiness Location: 84 LE-A/'��" 4-t--p.F �c �21It t9g e i- <br /> /!V-t o7-,tC,v�19 <br /> Business Mailing Address: 8 4 �-Egi-i.( E2 L� I-�l't • py pA s4APE� f <br /> Business Type: koytt -SenP Ot/e/n C0T Business Telephone: SOg— Sa Y'---1879 <br /> Home Phone: S-b O' 4277- 0 99 Email Address: W,e-I C'e,A-0-{`r oft,2 �("� �nr✓1C°-S�'( " <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> MARK J a kE E-r- LPf+`t AorL- !_rSaF C44. � MAS}VPEF, <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 required under law <br /> *Signature of au orized 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 tax filing or tax . <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will he subject to license SaSPenSIan or revocation. This <br /> request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSfABLE ss DATE J&// <br /> Personally appeared before nie the above-named N K Q and made oath that the foregoing statement <br /> is(rue. <br /> A certificate issued in accol'dance 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 thereaft <br /> er so long as subusiness shall be conducted and shall lapse and be void unless so renewed. <br /> N01ary <br /> IM <br /> SEAL <br /> • i., COMMONWEALTH OF MASSACHUEETMB <br /> COM <br /> p� yres: <br />