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BUSINESS CERTIFICATE# IOS I7 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE / <br /> DATE <br /> T <br /> Expiration Date: 4lJli <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the undersigned hereby <br /> declare(s)that a business under the title of <br /> Business Name/DBA: River Bend Motel Corporation Name: Cape Cod Convention Center is conducted at <br /> Business Location: 100 Great Neck Road North <br /> Business Mailing Address: 100 Great Neck Road North, Mashpee, MA 02649 <br /> Business Type: Motel Business Telephone: 508-477-1900 <br /> New I I Renewal I vl Certificate# 2010-007 Expiration Date 12/31/2013 <br /> Home Phone: 508-477-1900 Email Address: richzach(a).aol.com <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Richard Halpern 100 Great Necck Road North, <br /> I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state taxes as <br /> required under law. <br /> a4mlee 02 7 - 32 - 0 ,394 <br /> *3Wture of authorized agoft "*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 NUMBER: <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 lax payment <br /> obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under <br /> the authority of Massachusetts General Law.Chapter 62C. Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNST BLE ss / DATE 191,���IY <br /> P m nally appear before m the ab vc-named k ce Lt (A✓Yt4 V-0l.. and made oath that the foregoing statement is true. <br /> ee ificate issu d.'a accord'nee wit this sectio shat be in force and effect for four years from the date of issue and shall be renewed each four <br /> years there a so long ass c businc. shall h conducted nd sl all lapse and be void unless so renewed. <br /> Signed <br /> • oata ry Public <br /> SEAL ® Nota Public �~ ob�7 <br /> ry Commission Expires: <br /> Margaret C.Santos <br /> Commonwealth of Massachusetts <br /> My Commisslon E>f Irea on Se .22,2017 � <br />