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0 <br /> •� BUSINESS CERTIFICATEff '77 <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE �r <br /> Expiration Date: / .3 irlaing,/ <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: NWC, Corporation Name: is conducted at <br /> 13S SAA.; 16L S MSl� ✓ RO fA <br /> 4 <br /> Business Location: <br /> P,o, <br /> Business Mailing Address: SL\ F 5� S �uC\.. �-A cw O 2 3 7 <br /> Business Type: X w.iw,C SZ nl-a l 5 a �o�c S Business Telephone: 568 - a`'f 7 - 69;,2-7 <br /> Home Phone. 174 - Z31,- 50hS Email Address: a pe4 <br /> by the following named persons: <br /> Owner Name Owner Residence` <br /> Is'1i[l.ae1 �"1aCfh5Ocl �SnC =)i 5wnAw : r�-. M � <br /> n� ci z <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 /> taxes as required.ttnder law. <br /> ,-,- 03 aG898`1a <br /> 'RW*Signature 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 he 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 <br /> Personally appeared before me the above-named and made oath that the foregoing statement <br /> is 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 /> tary Public <br /> SEAL Notary Publ <br /> ic <br /> Margaret C.So mi--.­0 t� <br /> Commonweanhof MasCommission Expires: <br /> My Commisebn Es Ires on <br />