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BUSINESS CERTIFICATE # <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE / <br /> DATE <br /> • Expiration Date: <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:Ne;:�is` �E'A;4e Repa:g.Cortp,00rati`on Name: is conducted at <br /> Business Location: 131 11d 5i�_91 ac�vQ. / \vS h�« MA. O-Le 44 <br /> Business Mailing Address�, o:A --e <br /> Business Type: LAW-A Mnvef` `%QQv� r S�mo�_BusinessTelephone: (TOt) 407- 1441 <br /> Home Phone: (Soi) 72t3-SSSo Entail Addressla!''S_ +w �P Com <br /> by the following named persons: <br /> ONprr��er Nance pOwner Restd nce <br /> u5i: <br /> $o0 6ea�rs - WvY 4NE Nxg. .t;s A. -le <br /> I 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 /> tax as r uir un er I w. <br /> 034- 48 - SG za <br /> ature of authorized agent **Social Security Number(Voluntary) <br /> W <br /> ) <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 furnished to the Massachusetts Department of Revenue to determine whether you have met lax 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 request <br /> is made under the authority of Massachusetts General Law,Chapter 62C, Section 49A. <br /> The Common tvealrh of Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named and made oath that the foregoing statement is <br /> 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 years thereafter 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 /> Commission Expires: <br />