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r P � <br /> BUSINESS CERTIFICATE# I f--Q 7d <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE ' '' <br /> DATE l0 �pL <br /> Expiration Date: 2 �' <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: SMCS St17y rA Corporation Name: AO P , Iq \S is conducted at <br /> Business Location: 3 oink IC �J, f`VC,_,1_a&5%n ee ti� OA(CLI- q <br /> Business Mailing Address: Se v►JCI, k t T r'Mh!) A 9f sem\ <br /> Business Type: A ,mrU_ti"S"A Business Telephone: -7-7t4'2_iq-q-tV1 <br /> Home Phone: 'Q 141 Email Address: 44evo_r Q� GimoKi 5cl nc It bb W* <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> C je A Oc-Itef 5 A 1Se%A_JrR111 ckr "Ic J►-elsy\ P" t uA� 612,51 l`l <br /> )e yN y-. Cc r P2g-t1 5 A 5 e 1c.kA p f-q'C_I Mn Sh r nn 0?.QACI <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 upderjaw. <br /> 031 - CdO� 3-t,S S <br /> ignature of authorized 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 /> 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 subject 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 /> BARNSTABLE ss DATE G9 <br /> Personally appeared before me the above-named ✓r P� �S and made oath that the foregoing statement <br /> is true. <br /> A certificate issuedcor rice 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 after long as ch business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> JOSEPH L.I#il HELU,JR <br /> SEAL � �yPWlk <br /> 0 COIYONWFALiH F <br /> MyQtnaui25.2013 fres: <br /> OCtc0er24,1 <br />