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BUSINESS CERTIFICATE 13 <br /> TOWN OF MASHPEE <br /> Date: 6 7 <br /> Expiration Date: G 9(� <br /> • In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as <br /> amended,the undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: NYP Plumbing and Heating Corporation Name: <br /> is conducted at Business Location: 18 Pond View Drive <br /> Business Type: Plumbing <br /> New [ ] Renewal [vf--Commercial [ ] Residential [ ] Email Address:yIQ�'s rrrlbts <br /> Business Mailing Address: 18 Pond View Drive Mashpee, MA 02649 <br /> Business Telephone: 508-958-9214 Home [ ] Cell [ ] Phone: 508-958-9214 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Nickolas Perris 18 Pond View Drive Mashpee MA 02649 <br /> I certify under the pe I 'es of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> �11 state taxes re r d/under--law. <br /> *Signa e o authorized agent **Social Security Number (Voluntary) <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification Number <br /> In case of emergency /�� <br /> NAME:�7i{9/�PI/5 kr / TELEPHONE NUMBER: SDFC 3DSf �� <br /> Alarm Company: <br /> '"Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax <br /> filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or <br /> revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts � � _/Z� <br /> BARNSTABLE, ss DDATE f/r„�=/j <br /> Personally appeared before me the above-named A,/( c-�t$ A5. Ph K (� and made oath that the foregoing <br /> statement is true. <br /> A certifica i d in accordance with this section shall be in force and effect for ind <br /> ear m the date of issue and shall be <br /> renewed each ur r fter-s ong as such business shall be conducted and shall lapsebe of unless so renewed. <br /> Signed Notary Public <br /> M L MAMCCRELU,JR <br /> • /004 Commission Notary Public <br /> My CtxMMSIan Expires <br /> October 23,2013 <br />