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BUSINESS CERTIFICATE 4 2kV�", --0`7 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> • Expiration Date: �l <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` I' <br /> Business Name/DBA: Stb"'Jw II'' OCorporation Name: SV k fhW✓l %J�n � <br /> is conducted at Business Location: G% ( t`'tiltN otO� IM I`��" �' ( �pComme�rrcii�al�✓Residential_ <br /> Business Mailing Address: �nr�� � 1✓NU�tI✓I mac^ t/—II �UY'� "' � �D�� <br /> Business Type: c 6 Business Telephone: 5-0(9 1PU0 <br /> New [ I Renewal I4IomePhone: 33II Email Address: '51 �w�ti ✓I^�5� /�2e Q ccst"CC15�'�le� <br /> by the following named persons: <br /> OwnerC� M ( �7ayl � Rt enKS m d 26y�j <br /> I certify u er the penalties df perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br />� taxes a e fired and slaw. <br /> na r of uthorized 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: tis - &-e",-toil) TELEPHONE NUMBER: <br /> Alarm Company: [Tc t��`uh PFJ 1�c1 cn <br /> **Your social security number will be famished 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 subiect 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 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 such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> • SEAL <br /> Commission Expires: <br />