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BUSINESS CERTIFICATE# _ <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE �r <br /> Expiration Date: 7 3 n <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: `4 Corporalttiioop.Nam <br /> UWE <br /> is conducted at Business Location: V[J Commercial—Residential_ <br /> Business Mailing Address: <br /> p <br /> 4 r �•7�r — i l /'1 <br /> Business Type: ( s � Af S I` t <br /> Business Telephone: <br /> ew S '259 —S <br /> �-1 '1 b Email Address: <br /> Renewal Home Phone: <br /> e following named persons: <br /> Owner Owner Residence <br /> (o l 3 eL� (., 11 . <br /> 6,75°41 jr <br /> I certify under the penal 'es 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 w. r <br /> -G9 -7 S xj ) u <br /> ature 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 Cons aontveallh ojMassechasells <br /> BARNSTABLE ss \ DATE <br /> Personally appeared before me the above-name o c./. }, . �\Ctc 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 there fler so long as such busin �alll be conducted and shall lapse and be void unless so renewed. <br /> Signed � � <br /> • Notary Public <br /> SEAL <br /> IiAWANN ONI <br /> NotAryALTH <br /> O Public <br /> COMMONWEALTH OF dta6SACM <br /> My Cwalsion Etpbw <br /> TA 2013 <br /> I <br />