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2012
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Last modified
11/17/2016 3:11:02 PM
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11/13/2016 10:16:37 PM
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Box 038
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BUSINESS CERTIFICATE# s3 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE aux Cn �U� � <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 /> Business Name/DBA: PC r)E f-c- & I-en U Corporation Name: PaneM LLC is conducted at <br /> Business Location: D S e e p/`P— �'� r e e-t /�M G s Ln-e_e , M,4 d a 6 Y 9 <br /> Business Mailing Address: pan n� j L C - 1,3 t� ( e ..t¢r IC o act -S'� LOU, S rt 0 <br /> Business Type: k2 a + 101 Qr Business Telephone: SO$ — q -77 — Z/O- 3 <br /> Co2P / / <br /> rHome-Phone: 31q - q `1 - J �1 7 C1 Email Address: 11�.. ��S Iia h r�r c l< OGn P/'u G r P cid.Co.,,- <br /> IocA.+u,o- c,,r-CIb11G7�k.,¢rgb�eud.�T � Li6e..-se_ m <br /> by the following named pegrlssopnss:: I <br /> PanenM LLI. 30 S.OwneResidence d <br /> St Lowe, <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 /> Si <br /> [axes as required ature of authorizr law. <br /> under a O <br /> ed agenC **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> t1n��n1 ��f S/�1 i e Urre Sh In case of emergency ypl / <br /> vt NAME: r_X! e G (�o �r _� p;S+ �C�/L TELEPHONE NUMBER: o I 7 - `/ 1 3 <br /> Alarm Company: I.In;u¢rcc, I til4 l , ,4, Sit c Stem, (uA.s <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 subiect to license suspension or revocation. This <br /> request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts BARNSTABLE ss �7 DATE IZee,2 ;2 <br /> Persona appeared before me the above-named rt S h.Y U re c h and made oath that the foregoing statement <br /> is we. <br /> A cert fi to issued in accordant this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four years he eatter so long as business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • otary Public <br /> SEAL <br /> � LN-O4tart, u fioM .SarltOs Commission Expires: <br /> ComMassachusettsSkyComs on Sept 22,2011 <br />
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