Laserfiche WebLink
v BUSINESS CERTIFICATE <br /> TOWN OF MASHPEE <br /> • Date: <br /> Expiration Date: De-e-, 31,201 f7 <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: Tinder Box Internationale Corporation Name: Tabacchria, LLC <br /> is conducted at Business Location: 26 North Street Certificate No. 2010-132 <br /> Business Type: Retail <br /> New [ ] Renewal [ ] Commercial [ ] Residential [ ] Email Address: cecilia2920@hotmail.com <br /> Business Mailing Address: PO Box 987 Mashpee, MA 02649 <br /> Business Telephone: 508-539-3303 Home [ ] Cell [ ] Phone: 508-888-2920 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> James Sullivan 30 Pin Oak Drive East Sandwich, MA 02537 <br /> laecilia Sullivan 10 Pin Oak Drive <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 <br /> all state taxes as required under law. <br /> %Z4a ro 0- 4� Z6 3 - .6- X490 <br /> *S nature of au orized agent **Social Security Number <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: 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 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 /c� '-1.2 <br /> Personally appeared before me the above-named ao E 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 /> 01newed each four years thereafter so long/ass such business shall he conducted and shall lapse and b void unless so renewed. <br /> Signed Notary PublicCommission <br /> --- <br /> Commission Expires — nuarc <br /> Mgm J&1, <br /> sacCnwa <br /> acmmeMsahusgq <br /> Commission Expires <br /> ovember 10,2017 <br />