Laserfiche WebLink
t BUSINESS CERTIFICATE# _ <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE j w <br /> Expiration Date: 3/ <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: Thur 54✓A SzX� \ Citi Corporation Name: <br /> is conducted at Business Location: t t � MCommercial—Residential r� <br /> Business Mailing Address: <br /> Business Type: Business Telephone: �S�7� T S r'�`�—O 1(�C) <br /> New [✓<Renewal I ( Home Phone: Email Address:kap-�S,z-v.S .mor-y,�a•� �1� <br /> rr\sr-\ <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> �o '�.� v �GIA.•��Srr� l a�'Y�B LC.a� b S W M S� M�- <br /> I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax retums and paid all state <br /> taxes as required under law. <br /> AOL 9-9w <br /> azure 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 Sprl CrcL (Worn sUn c_k and made oath that the foregoing statement is <br /> true. <br /> A tificate jssued i accordance wit coon shall be in force and effect for four years from the date of issue and shall be renewed <br /> each f cars here er so to as uch bu ' shall be ondlrcl d and shall lapse and be void unless so renewed. <br /> Si <br /> No ary Public <br /> SEAL ­ <br /> Notary Public Ct C,I <br /> Margaret C.Santos Commission Expires: <br /> comnwnweam d Massachusetts <br /> IMy commission Ex on 22,2017 <br />