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{ <br /> BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: xd <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hcrebv declare(s)that a business under the title of <br /> 'Mac9�ets �copati�cS 1.id.Pw< eca`:,p��9f� �c.+he �o��0�ao�� COm ^� <br /> Business Name/DBA: CorporationName: is conducted at <br /> Business Location: CO �'G�\W�O(w �_OCxtI� �n �MC.t_S\'x iDp e— <br /> Business Mailing Address: (A �e <br /> BusinessType;MdVkQ='c a rovMc-!�""" Business Telephone:, 5o'k•LA11 • %Amw-k <br /> Hume Phone: 30[ ; • 4"11 • (.•1 •2\n Email Address: 1Ce).vr[+C'6�wZS �C�V`lyQ�St. COyV, <br /> by the following named persons: ' <br /> Owner Name Owner Residence <br /> \Cev�v� �n Mats�ecg� G•etieco.��pc'�er- '11 �w� s�noc r Mas,�Aee <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 �ireqn r law. <br /> � *Stgnature of authorized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> 'Thisdicense will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> ""four 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 suhiect to license suspension or. revocation. This <br /> request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BAILNSTABLE ss DATE k+0_ l�t•a.0\� <br /> Personally appeared before me the above-named\l'P )nb.'C4MC7 and made oath that the foregoing statement <br /> IS 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 /> • Commission Expires: <br />