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ti BUSINESS CERTIFICATE# 13 ^Oa g <br /> THE COMMONWEALTH OF MASSACHUSETTS �✓ <br /> • TOWN OF MASHPEE 51310 <br /> DATE <br /> Expiration Date: S 3"" 20 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of <br /> Business Name/DBA: + 1,'6l't efiy Mq;,1+'Pt4'0orporation Name: is conducted at <br /> Business Location: as WinSWIJS mA54nc <br /> Business Mailing Address: SrAINZ <br /> Business Type: I GOLT_h�t �(-e— Business Telephone: 5()J �o 1 0-715 <br /> Home Phone: 5ocb VM o'kob D Email Address: `h'��'�Di_✓P l j✓`tl`i i t �•(,G�. <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> J061 g E V\Wi5Ln 3a to i-s1dlas � I,IhG�Oe� <br /> 1 certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes s required under law. <br /> 020- a- a� 1 7- <br /> • • gnature 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 /> C In case of emergency q <br /> NAME: CtArty C � S(" TELEPHONE NUMBER: 5-0$'3aI- 0I 9S <br /> Alarm Company: <br /> "Your social security number will be famished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This <br /> request is made under the authority of Massachusetts General Law,Chapter 62C, Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss e I� DATE J (3 <br /> Personally appeared before me the above-named V t/� V✓W� l-^I S W and made oath that the foregoing statement <br /> 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 renewed <br /> each four year ereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> Notary Public <br /> • SEAL .. <br /> o <br /> cowwonwEAttn of wtesAHUSE"ll <br /> W Camission F.tpim <br /> 0d*&25.2013 <br />