Laserfiche WebLink
, <br /> BUSINESS CERTIFICATE#-2-6 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE y /t <br /> Expiration Date: y3 i <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 Name/DBA: pp Corporation Name: Gai_xLSCad—Wins,+ k8jjhQA Imcconducted at <br /> Business Location: C 3 )r-A't.-1f}d 1'� 1 t 14e�-e <br /> Business Mailing Address: I fY> SC-�Icu c _r ctr4 Vi'tC4Ar,5 (Ya d pear\ 1 <br /> Business Type: laWtrw Business Telephone: <7)5.- ICn(e <br /> Home Phone: $'!FS- Email Address: C.CaOet•�1 i1c )b A— cy"I -ra n. <br /> �aCo»3� <br /> ICI <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> e—kt/c 179n .✓1 <br /> �..���. C.�e�r.,o.� S( GU4<r�•.;e ''--Q Co><i..�� nva <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 /> a0ay � 3�tss <br /> nature prized 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 /> 2G <br /> NAME:: (T)e)tMoj+k TELEPHONE NUMBER: ICvrPJ <br />! <br /> �I <br /> Alarm Company: 5 <br /> v5-�aca 3S <br /> i <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 subject to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named 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 <br /> • Notary Public <br /> SEAL <br /> Commission Expires: <br />