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�f M <br /> BUSINESS CERTIFICATE# <br /> . J. <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO KIN OF MASHPEE <br /> DATE O <br /> • Expiration Date: 3 f <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 Namc/DBA: Corporation Name: *J_egeo Un V_ L.LL <br /> is conducted at Business Location:SII 11 (Yi'm ✓O, `" y�.. m&A'!rye� Commercial_Residential_ <br /> Business Mailing Address: 77i��/ S--h//��f--�/'rG�l,�� / I - <br /> Business Type:( C 0 Lgei Business Telephone: , p - !_J 4 —Qq /7 to <br /> Business Phone s521 -Zsy-0976 Home Phone: J74t-477—J ZZ2 Email Address: <br /> ne-E <br /> by the following named persons:- <br /> Owner Name Owner Residence <br /> MAMPee AA <br /> uu,✓b't� <br /> I certify u der 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 /> tai s a quired'nn er I w. <br /> y5-�'Sr3 sy <br /> ignature 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 /> I, is made under the authority of Massachusetts General Law,Chapter 62C, Section 49A. <br /> The Commonwealth ofMassachosetts <br /> BARNSTABLE ss ` \(� DATE �� <br /> Personally appeared before me the above-named? '�h `(x���y,� and made oath that the foregoing statement is <br /> nuc. Q \ � <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 therellfter so long as such business shall b conducted and shall lapse and be void unless so renewed. <br /> Signed O <br /> DY�� <br /> Notary Public <br /> SEAL <br /> conMWAMAOMNI <br /> Notary Punic <br /> COYMONWEALTN OF IU$$11C1101fET7f <br /> My,CGrrMrlla91on EnpBr <br /> 3 <br /> t%201 <br />