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BUSINESS CERTIFICATE l c3 O <br /> TOWN OF MASHPEE <br /> • Date: eXA 494, (1 oc�3`y <br /> t <br /> Expiration Date: /.x"AbZri <br /> In conformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of <br /> Business Name/DBA: MJD Carpentry Corporation Name: <br /> is conducted at Business Location: 7 Santuit Pond Road Certificate No. 2009-013 <br /> Business Type: Carpentry <br /> New [ Renewal [ ] Commercial [ ] Residential [ ] Email Address: milesandtracy@comeast.net <br /> Business Mailing Address: 7 Santuit Pond Road Mashpee, MA 02649 <br /> Business Telephone: 774-238-0889 Home [ ] Cell [ ] Phone: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Miles DeLoid <br /> 0 certify under the penaltieshf ped that I, to,the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state taxes as r q ired-un er law <br /> - ��.4 D�{lDZSIv�I <br /> *Signature f a honzed agent **Social Security Number <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification Number <br /> (Required) <br /> In case of emergency <br /> NAME: �l titU{ ��i�OI TELEPHONE NUMBER: <br /> Alarm Company: _6�3q_4!�,Q <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 Chapter 62C,§49A Massachusetts General Laws <br /> The Commonwealth ofMassachuserrs <br /> BARNSTABLE: ss DATE /D -3 - l <br /> Personally appeared before me the above-named Mt LIES D}-:Ld Lb 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 /> 4Orenewed ea four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed Notary Public <br /> Commission Expires PATRICIA A.JENNINOS <br /> Nowt' <br /> Mawthosstts <br /> Commission Emlm Msy 28.2021 <br />