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t` BUSINESS CERTIFICATE # C:2-� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO NIN OF MASHPEE <br /> DATE <br /> • <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 a business under the title of <br /> Se I'CAA <br /> Business Name/DBA: -Se_l,� �y�S Corporation Name: is conducted at <br /> Business-Location: '�� - Ol.MQU+lN rd #211E -- 0� a��ML Ma 02G4q Jam' (, <br /> Business Mailing Address: � tG�T= )Vn l?A - a l F- - I 1 )Qs Ci 2-L4 <br /> tJ t' A t''� )ZG `t9 <br /> Business Type: OMI wL3A_.11r�mt„s,,r� Business Telephone: C1_t)�� �>2�_'4` —rk; <br /> Home Phone: ('��I o 24� I10�� Email Address: LXR1V�Xl"�•VQV\l-Sll • �Y)'') <br /> i <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> 1 e.(mea s Yl.,l d S "­a c95 <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 /> taxe s r/equired under lawnP <br /> nature of aut sized agent U "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> '�J � In case of emergency p <br /> NAME: `Selcm T*6d N <br /> 3 TELEPHONE UMBER /('Q <br /> Alarm Company: �j 1-A— <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-fling or delinquency will be subject to license suspension or,revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> Tile Conunomveallh of MassachusettsBARNS'I'ABLE ss DATE •� <br /> Personally appeared before me the above-named l LM A and made oath that the foregoing statement is <br /> 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 en6o,� I/�� _ <br /> • Notary Public <br /> SEAL <br /> Commission Expires: <br />