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BUSINESS CERTIFICATE#`� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE S/3�J�y <br /> Expiration Date: 76 / <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declaie(s) that a business wider the title of <br /> Business Name/DBA: 46 C-4AlrIZ0L S Corporation Name: <br /> is conducted at Business Location: $0606-- A& AZ 4�Zz #AWj�+C Commercial_Residential <br /> Business Mailing Address: Dddo Ape,-/<////Gre /76a✓�/ ���/46 , f1IA 0 49:�_�� <br /> Business Srvae: Business Telephone: /477—(3 !/ / <br /> New ! '� Renewal tome Phone: Email Address: 4j 4'0'f7&_ �GOMCgS"Y'•/1 G',�' <br /> by the following named persons: <br /> Owner Name O ner Res'� en;;, <br /> GEXA•✓AF2 �r2K%/OGS 86 �G-�i��2 <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 as required under law. <br /> nature 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 <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named P ' G—P, tj 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 er after so long as such business be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> otary Public <br /> SEAL <br /> res: <br /> th tbs res <br />