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BUSINESS CERTIFICATE# aU t 3 - D SS- <br /> THE <br /> S—THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATEQZ c90 13 <br /> 0onformity <br /> Expiration Date: <br /> with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned hereby <br /> declare(s) that a business under the title of <br /> Business Nanle/DBA: Peters Wampanoag Consulting Corporation Name: is conducted at <br /> Business Location: 320 Great Neck Road North <br /> Business Mailing Address: PO Box 244,Mashoee,MA 02649 <br /> Business Type: Consulting Business Telephone: 508-477-1361 <br /> New I I Renewal 1,4 Certificate# 2003-063 Expiration Date 12/31/2008 <br /> Home Phone: 508-477-1361 Email Address: r�'0.S a-10 R) CL pa . C wvx <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Ramona Peters , <br /> 1 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 taxes as <br /> requ ed under law. <br /> 7y� <br /> s <br /> ore 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 payment <br /> obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under <br /> the authority of Massachusetts General Law,Chapter 62C, Section 49A. <br /> The C�nuutontvea(th of Massachusetts BARNSTABLE ss DATE_�o 13 <br /> Personally appeared before me the above-named O trio r% Pe-kr S and made oath that the foregoing statement is true. <br /> A certificate issued in ace ith this section shall be in force and effect for four years from the date of issue and shall be renewed each four <br /> years thereafter g as such siness shall a conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> tary Public <br /> Notary Public a D- <br /> • Margaret C.Santos <br /> Commonwealth of Massachusetls Commission Expires: <br /> Common <br /> Commission Expires on Sept.22,2017 <br />