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BUSINESS CERTIFICATE (5 <br /> TOWN OF MASHPEE <br /> • Date: <br /> Expiration Date: <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: Mashpee Commons 6 Corporation Name: Interstate Theatre Corp <br /> is conducted at Business Location: 15 Steeple Street Certificate No. 2010-133 <br /> Business Type: t /Movie Theatre <br /> New [ ] Renewal Commercial [ ] Residential [ J Email Address: kpassmore@reamovies.com <br /> Business Mailing Address: 7132 Regal Lane Knoxville,TN 37918 <br /> Business Telephone: 865-925-9360 Home [ ] Cell [ ] Phone: 508-477-5120 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> K. Passmore ��Z <br /> .I certiEm <br /> f perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> al staer law. <br /> m 04 -1yJop nQ:> <br /> *Signature of authorized 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 /> p �\ <br /> NAME: caw UL IY11L�/` ,, •� TELEPHONE NUMBE4-()r)`i. <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 Coinnion wealth of Massachusetts <br /> BARNSTABLE: ss Ov DATE ID.- 1I-14 <br /> Personally appeared before me the�49yeirli4V�d /��-i f t A2 SS�1a(-Q-- and made oath that the foregoing <br /> statement is true. ��%% t4l C/-JO��ir <br /> . ........., <br /> A certificate issued in accor� a� ctidi sharlipe in force and effect for four years f m the date of issue and shall be <br /> f <br /> renewed a f=ar. ereafter scp;s" inCc <br /> ess kil bonducted and shall lapse and vo' unless r sewed. <br /> Sign --J j �fi�SIE 'X _ Notary Public - <br />� s � - " VCfo� <br /> Commission Expires T, <br />