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BUSINESS CERTIFICATE <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE ^O o,,2/0��7�. <br /> Expiration Date: <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: Zacharvs Pub Corporation Name: Cape Cod Convention Center is conducted at <br /> Business Location: 100 Creat Neck Road North <br /> Business Mailing Address: 100 Great Neck Road North, Mashpee, MA 02649 <br /> Business Type: Bar, Motel Rentals Business Telephone: 508-477-1900 <br /> New Renewal lvlil*� Certificate# 2010-011 Expiration Date 12/31/2013 <br /> Home Phone: 508-477-1900 Email Address: LR%Gt-1 `fN r— H a POL • QOM <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Richard Halpern 100 Creat Neck Road North, Mashpee MA 02649 <br /> 1 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 taxes as <br /> required under I w. <br /> � �"' 0L7 -3Z - 0394 <br /> *IJWture of authorized agent "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 furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax 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 BARNSTABLE ss / / DATE �0 ow <br /> Personally eared -for me the aboohiss <br /> d .SQ YO A ao3c,,,, and made oath that the foregoing statement is true. <br /> A \ertificat i sued ' acco dance withtion shall be in force and effect for four years from the date of issue and shall be renewed each four <br /> yearsthe -aft rsoto g s su busin,ss shall beed and shall lapse and be void unless so renewed. <br /> Signed <br /> C/ otary Public <br /> SEAL <br /> � Notary Public Commission Expires: <br /> Margaret C:Santos <br /> Commonwealth of Massachusetts <br /> ��hly Commission Expires on Sept 22,2017 <br />