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BUSINESS CERTIFICATE# /.2 -0 S'2 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE b �y <br /> Expiration Date: <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 /> D <br /> BusinessName/DBA: ANI)IfnrS &rr- COS Corporation Name: <br /> is conducted at Business Location: Jy S(3,)A Commercial—Residential_ <br /> Business Mailing a Address: P 0 f jFS-1' I4yAA/vl�b ; Or (2 <br /> -1 ; <br /> Business Type: R eS r A0A a k)r Business Telephone: I <br /> ew I Renewal Home Phone: Email Address: VM Left 64 0 10.60• Coni/ <br /> by the following named persons: <br /> Owner Name Qwner Residence <br /> if ,r <br /> � o_( tjkA M . l.t%Hrl'2 Jr) ikon Y Tr{2 <br /> Cep v'l l I e M /k o�rP3 a <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 /> `/6 - 063 Ral <br /> 11111P�natut 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: p i R Gt.V to MA C t fel TELEPHONE NUMBER: SOS-99i - 9,907 <br /> Alarm Company: <br /> 2. <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 ofAfassochosetts Z <br /> BARNSTABLE ss C1DATE <br /> Personally appeared before me the above-named 1 t;u 1 yI � eaf-ra=ta 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 /> ELLI J <br /> of=Coniftmi"R SSACs:pires:SETte <br /> Expires <br /> 013 <br />