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BUSINESS CERTIFICATE# .-2dJO1w ,^ 6 3 T <br /> THE COMMONWEALTH OF MASSACHUSETTS D <br /> TOWN OF MASHPEE 1 <br /> DATE <br /> • Expiration Date: 4 <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: Ra PL Cir=or rration <br /> is conducted at Business Location: 3¢' N66008E Commercial_Residential_-✓, <br /> Business Mailing Address: —91' A45SA E A <br /> Business Type: /QST e%Pr9E1L Business Telephone: <br /> Newt I Renewal 1/1"HomePhone: -1-04477-04-9/ Email Address: <br /> by the following named persons: <br /> Oner Ng <br /> e Owner Residence/�,� <br /> TSS/1 JJ. �OUI S,C� -1' Mf—T f` E ACL- IAS f�PlJ� <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 a quired under law. <br /> t Ire 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 request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts BARNSTABLE ss DATE S �y <br /> Personally appeared before me the above-named d J(/J SK ( 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 th eafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> T <br /> 6 igned <br /> Notary Public <br /> • SEAL JOSEPH L.M <br /> CommisbWsrvTxPices: <br /> II I f COMMONWEALTH OF MASSACHUSETTS <br /> My Oomm:ss:_n Expires <br /> October 25,2013 <br />