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! BUSINESS CERTIFICATE # <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE ,Srlull z- <br /> slExpiration Dale: <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: COOL Y U1'6h) Corporation Name: <br /> is conducted at Business Location: 4XSh0✓L' !//� 5 #6 Commercial—Residential <br /> Business Mailing Address: / DOJO 7 (1r '/}�4CLJA?ee, P*,q euo 44_�_/ <br /> Business Type: 62 rk.TE4 fi ni '!Business Telephone: CjJ- V19 13G Z ry <br /> New I Renewal I V�Home Phone: SOS Z�/ 77 7] 37 Email Address: <br /> by the following named persons: <br /> ` Owner N me Ow er Resi ence <br /> r e a t�af �29 RaYS tivp Tj/ <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 re ed an ' <br /> ll <br /> t ature of author ed 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: &irtl —A/I l kq TELEPHONE NUMBER:�� z`J~Y 302-P_ <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 <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named /L/! ✓�r L. 4��- 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 fouryear [��g as ch business shall be conducted and shall lapse and be void unless so renewed. _.. <br /> Signed <br /> .. Notary Public <br /> SEAL <br /> ypitylipn Expires: <br /> COMMM umt OF�uawau�n <br /> Dow <br />