Laserfiche WebLink
BUSINESS CERTIFICATE # 2e) <br /> THE COMMONKIEALTH OF MASSACHUSETTS P� <br /> TO H'Ar 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 a business under the title of <br /> Business NanlelDBA: �Affle�Se,OLCr "T�1 Corporation <br /> (�Name: <br /> ' `- �p n 'i(i�s conducted at <br /> Business Location: ICA La�V1AWM 1?b,0J 1�(JC ctsQ a&— PA D2b4q <br /> Business Mailing Address: I `,a�� [' ¢ ( /] ( I �} <br /> Business Type: �W\ek Sf lL'("-e. r_ Business Telephone: JO p — 41"I—I I Y <br /> Home Phone: 5bt- �4-11- 31 (40 Email Address: <br /> by the following named persons: <br /> Qmner Nan q Owner Residence <br /> 1 fk55e 1 <br /> Vj ID tSGLDAUI ,,+ (Pp 2k I?J -- C)Zfot� <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 /> taxess required undeyla+ <br /> a 'e of au hori(z`jg lit `*Social Security Number(Voluntary) <br /> qwlor 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 /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be sub Feet to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Common iveallh of Massachusetts <br /> BARNS"l'ABLE ss n DATE <br /> Personally appeared before me the above-named J r->4/,/ , 9 <br /> /t 6 42_ ahrsr LL od 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 yea thereafter so ]on •s such business sh. be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> SEAL <br /> JOSEPH L.M� K9Ri6h <br /> on Expires:s: <br /> COMMONWEALTH OF MASS1SEM <br /> My( Rn9S101 F <br /> Ocltb25.20 <br />