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r BUSINESS CERTIFICATE I 3 <br /> TOWN OF MASHPEE <br /> Date: {laJemla?r 31 ao14 <br /> Expiration Date: ;/ln v e m by 3 0 . r)ct$ <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: Wopanaak Language Reclamation Project Corporation Name: Wopanaak <br /> Language &Cultural Weetyoo, Inc. <br /> is conducted at Business Location: 483 Great Neck Road South Certificate No. 2010-102 <br /> Business Type: Non-Profit <br /> New [ ] Renewal [" J Commercial [ ] Residential [ ] Email Address: info@wlrp.org <br /> i <br /> Business Mailing Address: PO Box 2241 Mashpee, MA 02649 <br /> Business Telephone: 508-367-2714 Home [ ] Cell [ ] Phone: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> jillIftlidessie Little Doe Baird 21 Meetinghouse Road Mashoee, MA 02649 <br /> I certify uJteal es of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state tae under law. <br /> j 'Signature ofLauthorized agent "Social Security Number <br /> j <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification <br /> Number(Required) <br /> In case of emergency <br /> NAME: �t 4�, UQ Q>l1 AILS TELEPHONE NUMBER: Sod "3�—I • a�1 t <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 Chapter 62C,§49A Massachusetts General Laws <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE: ss ` DATE '(lovevr,ber 0-t ,�1� <br /> Per onal appeared before me the above-named J l )Y G�J hunt— and made oath that the foregoing <br /> statement is rue. <br /> A erti i at 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 eac r y ars thereaft ong as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed I Notary Public ��✓& <br /> Margaret C.Santos <br /> CommomveaBh trt Massachusetts <br /> Commission Expires <br /> N <br /> �My Commission Expires on Sept.71.2017 <br />