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BUSINESS CERTIFICATE # 32 <br /> r - <br /> i ' <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> • Expiration Date: 3 d <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: �j OC (p F-JOOr' COVCrji �S Corporation Name: <br /> is conducted at Business Location: 4.5 baibe-rg 'DrlV-e_ Commercial_Residential <br /> Business Mailing <br /> Address: CL LAC) <br /> Business Type:f IOOr SLI.ICS +- tVt54UJ I CC-H WLrB�usiness Telephone:��tTa3o 07 / <br /> New Renewal I I Home Phone: Spa'�F77"318 / Email A(ldress:CLl eccxi T/oorcLTy r'ih9S� �1Q {•,rN•�`` <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> n —DIAPYLO✓1-l• Dr)v-e <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 /> Zt.red under law. <br /> "r'--t L) 7 - dt7 �y7g <br /> �iature of authorized agent "Social Security Number(Voluntary) <br /> 0r(fcTeraI (dent is <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 lax <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 /> tr' <br /> Personally appeared before me the above-named Acro• r-,( - Al 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 suchbusinessshall be conducted and shall lapse and be void unless so renewed. <br /> SignedXVLA,,,.. <br /> ftA,� Py-f A oyl <br /> l <br /> Notary Public <br /> SEAL JJJJ, <br /> • °IfyNOTAWPUBW <br /> Commission Expires: <br /> Mt4mmwaua1d a7At6 <br />