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Last modified
11/17/2016 3:11:02 PM
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11/13/2016 10:16:39 PM
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Box 038
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r <br /> •f BUSINESS CERTIFICATE 6� <br /> TOWN OF MASHPEE P <br /> Date: �I61LAJ l o?9/3 <br /> Expiration Date: 3 <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: Bittennails Design Corporation Name: <br /> is conducted at Business Location: 11G Riverview Avenue <br /> Business Type: Web Graphic Design nn !n� <br /> New( ] Renewal [ ] --Commercial [ ] Residential [ ] Email Address: CN�Pt (i Dt c�KN AlCS , Gari <br /> Business Mailing Address: 11G Riverview Avenue Mashpee, MA 02649 <br /> Business Telephone: 508-275-2268 Home [ ] Cell [ ] Phone: 508-275-2268 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Apaarieet Chopra 11G Riverview Avenue Mashpee. MA 02649 <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 /> 11 state taxeluired under law. <br /> 62t- /yti - 886 <br /> *Signatu 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 o- <br /> NAME: S14C 401k Limo&' TELEPHONE NUMBER: �a l 237 —2[jo- <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 rr DATE LG�� /a .. <br /> 2613 <br /> Personally appeared before me the above-named S12 I(SrN ( _ /Cc• and made oath that the foregoing <br /> statement is 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 <br /> renewed each fou�hereafier so long as such business shall be conducted and shall lapse and be void unless so r newed. <br /> Signed Notary Public <br /> Notary Public Commission Expires 9'aa'c7G17 <br /> Margaret C.Santos <br /> Commonwealth of Massachusetts <br /> %Mmy Commission Expires on Sept.22,2017 <br />
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