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BUSINESS CERTIFICATE <br /> TOWN OF MASHIPEE 1 <br /> Date: �Ce y,6Aa1 <br /> Expiration Date: L !Ca*Y�6;A <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: Popponesset Marketplace, LLC Corporation Name: New Seabury Company, LLC <br /> is conducted at Business Location: 259 Shore Drive Certificate No. 2010-016 <br /> Business Type: Retail <br /> New[ ] Renewal [ ] Commercial [] Residential [ ] Email Address: <br /> Business Mailing Address: 12 Mallway Mashpee, MA 02649 S�0 �a6 I— (o 15 a <br /> 568-H��-83a a <br /> Business Telephone: 5=x=469 Home [ ] Cell [ ] Phone: 51:19=2=94159 <br /> by the following named persons: <br /> Owner Name pr, <br /> ��e- Owner Residence <br /> Tr <br /> Christoaher Burden opmo&t BIAYd�'1 '�v aa76 (/i(,(Q9e <br /> Y� F�e�Eh .Fi 33410 <br /> 0 certify under the penalties of perju that I, to the best of my knowledge and belief, have filed all state tax returns and.paid <br /> all sta taxes as r quir oder I <br /> 1ZI 1/1 035 <br /> t-5iigature of authorized gent "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 a ergenc/y goat) Lew �s -/ /� �- 94- Pial <br /> NAME: L//]]�l ( TELEPHONE NUMBER: <br /> Alarm Company: H"/Q ln <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 'l <br /> BARNSTABLE: ss I I- DATE 171 9 <br /> Q�, �1 I <br /> Personally appeared before me the above-named 1 fY 041 ?,-1)17U— and made oath that the foregoing <br /> statement is true. <br /> A certificate issued in actor ante with this section shall be in force and effect for four years from the date of issue and shall be <br /> renc%ved each four years there Mier. ong as such business shall be conducted and shall lapse and be void unles,so renewed. <br /> •Signed, Notary Public Cs req U ti <br /> Commission Expires 3p 1-17 <br />