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BUSINESS CERTIFICATE020/q- /I/ <br /> TOWN OF MASHPEE <br /> Date: <br /> • Expiration Date: Vsd Ll� <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: Hot Diggity Corporation Name: <br /> [GEVT4At_SdX fAtec <br /> is conducted at Business Location: 4-Neftel Certificate No. 2008-024 <br /> Business Type: Retail <br /> New [ ] Renewal [ ] Commercial [] Residential [] Email Address: <br /> Business Mailing Address: �n1�vJ Vr=n1f11P6�J/tC S.QEiVNIs�MA �((,rd <br /> Business Telephone: 508-477-2663 Home [ ] Cell [ ] Phone: 508-477-2663 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Nicole Merriman <br /> I certify under the pefialties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> •*11 st�ta taxes ryi re <br /> ey under law. +. <br /> 11111111t111III/yi/IInIIIAAAJ111'�Jn�J 'ZO�I t,�'j�l{3 <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 ofemergency <br /> , p p <br /> NAME: 1 j �:M 1�t1 TELEPHONE NUMBER: � _391-160 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 Commonwealth of Massachusetts <br /> BARNSTABLE: ss n DATE <br /> Personally appeared before me the above-named /J X 4 ///1�� 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 fou ears from to date of issue and shall be <br /> renewed each f r y• rsathereafterr so long as such business shall be conducted and shall lapse be vo' an ;s so renewed. <br /> �ed // Xt A / I Notary Public <br /> • PUBLIC <br /> V Commissio 3 SEP UBLtRusEttS <br /> My Comm. <br /> res <br />