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\ BUSINESS CERTIFICATE# 2 a ^'oa r <br /> /f J <br /> THE COMMOA11VEALTH OF MASSACHUSETTS f� <br /> TO NIN OF MASHPEE <br /> DATE <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 al business under the title of <br /> Business Namc/DBA:7(_agr3ittOf1,_ _tD - -A Corporation Name: <br /> is conducted at Business Location: <br /> —1d[ RdArA�C, �ICKQJI - n22 Commercial <br /> Commercial L/ Residential <br /> Business Mailing Address: 1021 PFCI-,�(1'�EJl l-'�t�. ec] . i s ul", .`y 'bm' p� <br /> Business Type: l L1P.�� ifn (��mJLA Business Telephone: ItI4` 313- (Ot)-�E <br /> Business Phone Home Phone: 2atY12 Email Address: r)ad:q eStl W>�� <br /> Csaf>, <br /> by the following named persons: �I <br /> Owner Name Owner Residence ,1 I ,,I <br /> rt`till 1 1't(Y 1 1-ly>° L7 1 n�C.l V LA 11 De• SC-2A ynCiUM fY'f' <br /> oas�� <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 /> CfGPAS 'baa a3- Soso <br /> gn re of auth ri d agent "Social Security Number(Voluntary) <br /> • <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant _ <br /> ��// <br /> In case of emergency <br /> NAME: Kr1S1C&COLdUre_ TELEPHONE NUMBER: <br /> Alarm Company: <br /> "four 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 Conunoniveallh of Massachusetts <br /> BARN'STABLE ss DATE 30 <br /> Personally appeared before me the above-namcd4�A/S77, q/ d uiU7,� 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 /> eac 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 /> • 363EPH a47�wjkn xpires: <br /> WOMMONINE&TH OF MASSACHUSETP <br /> MYE,;� <br /> .Od00er23.x.15 <br />