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2013
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Last modified
11/17/2016 3:11:02 PM
Creation date
11/13/2016 10:16:39 PM
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Box 038
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:n BUSINESS CERTIFICATE#l'O'.3^6(O� <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> • DATE <br /> Expiration Date: <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, <br /> the undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: Stelios Pizza Corporation Name: is <br /> conducted at Business Location: 259 Shore Drive Commercial Residential <br /> Business Mailing Address: 65 Richardson Road <br /> Business Type: Business Telephone: <br /> New I I Renewal I Home Phone: Email Address: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Stelios N. Markantonis <br /> I certify under the penalties of perjury/that I, to the best of my knowledge and belief, have filed all state tax rettuurns and paid <br /> all state tax as red unAr Iaw. <br /> L S <br /> "Si ature of authegfZd 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 <br /> 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 <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 <br /> BARNSTABLE ss � DATE <br /> Personally appeared before me the above-named w-v<"-q'rW/S and made oath that the oreg ing <br /> statement is true. <br /> A certificate issued in accordance with this section shall be in force and effect for fo ears from the date of issue and shall be <br /> renewed eac o r years thereafter so long as such business shall be conducted and shall lapse be void unless sonttVCtl. <br /> i Signed Notary Public <br /> CCNELU,JFF <br /> . W7W25.20* <br /> H F MASSACHUSETTS <br /> vriss on fay es <br /> \Seal <br />
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