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BUSINESS CERTIFICATE # �Z S <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWtV OF MASHPEE <br /> • DATE Q ?/ <br /> Expiration Date: 3U <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 /> 7j�/(jN/�� O�L�iGG TIt c <br /> Business Nanle/DBA: �as V ��� H"r Corporation Name: i <br /> is conducted at Business Location: Z� B•R- Q fZo R'�o Commercial Residential <br /> y _ <br /> Business Mailing Address: I O r3 O H C' t-yq- \ O-L 6 �S <br /> Business"type: f/jZeGr7L�lilre/ pC7/fin/.(� Business Telephone: ���/ y77 <br /> New Irx Renewal I I Home Pho(e.SEntail Address:,M___00'rC—I C.t— -nfD}iks TOkZ764�, <br /> by the following named persons: 7 <br /> Owner Name Owner Residence <br /> L) llleze�e_ 126-1:2 cev4lf� <br /> 1 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 under law. <br /> f -Z-7y - SZ - '��'Z 3 <br /> aature 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: / �/(J wry ((_ TELEPHONE NUMBER:(S0,K 172 —S6 CJS <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 request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> BARNS"f ABLE ss <br /> The Commonwealth ofA1nssachusetts <br /> �-�//��� � /; � � DATE�/ /� <br /> Personally appeared before me the above-named II'W"eO- ✓I�Q,LJ" and made oath that thee' fo��/regoiing 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 /> 0 SEAL <br /> JOSEPH <br /> WWWft <br /> Afte <br /> KM <br /> COW10 <br /> 0Fsn G <br /> MyCmtmbECw <br /> 202017' <br />