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BUSINESS CERTIFICATE# Ll <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration Date: fy'i, 1� <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 /> Business Nam DBA Pl-LSF S1(LF-S CoArdCorporation Name:O �li-//'f/�!/T is conducted at <br /> Business Location: W54Kr E , A44 <br /> , / - <br /> Business Mailing Address: !Q_ C7- 160"/` t f , /y&SW_KE:71 A4,4 �J Zoo y <br /> Business Type: 154116S (0A6VL'(1/I.li -Business Telephone: F& 3 025-5l <br /> Ilotne Phone: 62C,? 5-3 9 3G& 7— <br /> by <br /> by the following named persons: <br /> Owner Name Owner Residence. <br /> QOM J_ Wi4a4 R24 9�G1--6k-k(X1.zf! j <br /> 1 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 as re/qui tomer las <br /> Signal re of• thorized 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 /> ff,,,, <br /> ��,,,,ee In case of emergency // ////,, <br /> NAME:kAVf`tEP—A 1251 Ila — 60111A," TELEPHONE NUMBER:? ,F.52fJ 9 <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 subiecl 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 /> BARNSfABLE ss DATE <br /> Personally appeared before me the above-named I OM S L<_'e _k T 6 and made oath that the foregoing statement <br /> is true. <br /> A certificate issu accordanc ith 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 er so I 5ovs such siness shall be conducted and shall lapse and be void unless so renewed. <br /> Sigi <br /> N4,t)ry Public <br /> . . .-SEAL . <br /> Commission Expires: <br />