Laserfiche WebLink
BUSINESS CERTIFICATE 2o 04""3 <br /> TOWN OF MASHPEE eX <br /> (� <br /> Date: '_d/// -3 <br /> . Expiration Date: <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 /> Corporation Name: Northeast Restaurant Equipment 0.t0 Business Name/DBA: <br /> Is conducted at Business Location: 94 Industrial Drive,#9 <br /> Business Type: Restaurant Equipment Sales <br /> New [ ] Renewal [ ] --Commercial [ J Residential [ ] Email Address: <br /> Business Mailing Address: 94 Industrial Drive,#9 Mashpee MA 02649 <br /> Business Telephone: Home [ ] Cell ( ] Phone: <br /> �'og Y7� .333 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Joseph LaVoie 2 Compass Circle 6—A57- Q1-A("5V77i <br /> o-)S".310 <br /> certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state taxes as required under law <br /> *Signature ofd agent "Social Security Number (Voluntary) <br /> "This license will Vol be issued unless this certification is signed by applicant or Federal Identification Number <br /> In case of emergency f/ t� <br /> NAME: S �v�/�l�i TELEPHONE NUMBER: J a��L Ggj P, <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 ofMassachuserrs <br /> BARNSTABLE, ss DATE ' d 7- C90 13 <br /> Personally appeared before me the above-named -_t)seeh �V O•c P and made oath that the foregoing Ili <br /> statement is true. <br /> i <br /> A certificate issued in rdance with this section shall be in force and effect for four years from the date of issue and shall be <br /> renewed each four a ierea r so as such business shall be conducted and shall lapse and be void unless so renewed� /� <br /> Signed Notary Public �Yl C( r � �1A <br /> • Commission Expires ' 3 a- 7CG 1 <br /> Notary Public <br /> Margaret C.Santos <br /> Comtttonwettsh d Ma9sadtusetts <br /> My Commlesbn Ett res tm Se 22,2017 <br />