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BUSINESS CERTIFICATE# %- 03 7 <br /> THE COMNIONWEALTF/ OF MASSACHUSETTS <br /> TOWN 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 it business under the title of <br /> ``II L¢YS <br /> Business N'ame/DBA: U. k airouni COM�Corporation Name: is conducted at <br /> Business Location: 3k c-e V A�—� <br /> Business Mailing Address: t \ <br /> Business Type: otv\ ce&'i dgiFvcvR Business Telephone: <br /> Home Phone: Email Address: C�.�ww r (}�� a.lo•-t`�e� eocr,psi[a"S'•ne'4" <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Ccr-�l �sr�Y\72f o� <br /> 1 certify u de the pe [ties f perjury that 1, t to best of my knowledge and belief, have filed all state tax returns and paid all state <br /> [axe s re it d in er In <br /> "Signa t "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 /> ir <br /> payment obligations. Licensees who fail to correct thenon-filing or delinquency will be subiecl to license suspension or revocation. This <br /> request is made under the authority or Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> I3ARNS'1'ABLE ss DATE <br /> �t�n/-'/�' n <br /> Personally appeared before one the above-nam �'r <br /> ed L 0,0 JV Z/'/ L ad made oath that the foregoing statentenl <br /> is true. <br /> A certificate issued in accordance with this section shall be in force and effect for four years from the date or 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 e"Q <br /> —.r. - 1e` <br /> • SEAL JOSEPH L. <br /> NotmV HtCBt <br /> OW1AgyAT^T%Rft WM <br /> my EOM <br />