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BUSINESS CERTIFICATE# t 4 ) <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE ��I <br /> • Expiration Date: aCamb,-- -31 <br /> Inconformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws,as amended,the undersigned hereby declare(s) <br /> that a business under the title of <br /> Business Name/: Kett,(tuZ 2n Srr ] �t S Corporation Name: n 0 Gl t dA �GUvr1 <br /> '+r`ltvtrtl ?� h ZZtS t4s�ee/ rci Cl <br /> is conducted at Business Location: 1 � r i om'�m/ercial ✓ Residential_ <br /> Business Mailing Address: —TIShe.+"II�tCIL int �l(AS CQrU I� 2—(oq� p <br /> Business Type: alb_��oat'LC 1 rYi Business Telephone(cej] 1� — 2�-3 i6 l <br /> New l-/ Renewal ]'' ff ] Home Phone: . 5 QK— 0�-] — D 1 0 <br /> Email Address: I�( . 7D i�'vlLin/r<1�if)W,l..t I •Cry-yl Q�� �� — q t9 _ 6 L <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> tA)' 2-� <br /> ,- <br /> Second Owner Name Second lOwner Address <br /> 0-ify 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 <br /> taxe§.t required under law. <br /> N - 00 -7 -(oy -acvS <br /> *Sig acute authorized agent "'Social Security Number or <br /> or Federal Identification Number(Required) <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> l� cJb - n / <br /> Name: � / "l Telephone Number: —`� lD�y <br /> Alarm Company: y <br /> ""Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax riling 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 Chapter 62C, §49A of Massachusetts General Laws. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE <br /> Personally appeared before me the above-named±��krj h S' I V' Uz and made oath that the foregoing 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 renewed each <br /> four yearserTa er so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Jed <br /> Notary Pub rc <br /> SEA Natary public <br /> 'Margaret C.Santos <br /> Gorl�ofMassalusetls Commission Expires: <br /> �7 Commission LOM on Sept.2Z 2017 <br /> I <br />