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BUSINESS CERTIFICATE 1 Do <br /> TOWN OF MASHPEE <br /> Date: <br /> Expiration Date: ct - 30. 0) 1 t? <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: Siena Corporation Name: Better Food LLC <br /> is conducted at Business Location: ]7 Steeple Street Certificate No. 2010-119 <br /> Business Type: Restaurant <br /> New [ ] Renewal [V] Commercial [ ] Residential [ ] Email (�Address: info@siena.us <br /> Business Mailing Address: PO Box 2728 Mashpee, MA 02649 n `V @ 1 N`a us <br /> v <br /> Business Telephone: Home ] Cell [ ] Phone: 508-280-" (0a fp <br /> 41.1sa z� <br /> by the following name persons: <br /> Owner Name Owner Residence <br /> Graham Sillman 141 School Street Cotuit MA <br /> 0 certify under the enaltie of p 'ury that t, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state taxes as r quired rider w. <br /> 04 430#19 ( 5 <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 p <br /> NAME- el1 ssso - KoLoSk-01 G TELEPHONE NUMBER: 8 ,46- 110158 <br /> Alarm Company: Y ![Echo N D N v Boo . 4 5 5- q 3,5,7 <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 ofMassachusefrs <br /> BARNSTABLE: ss DATE APersonally appeared before me the above-named . e/5S/a .mac e 11,,-)r i 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 /> enewed each four ye rs-Ht fter s o g as such business shall be conducted and shall lapse and be void unless so renewed. <br /> 1� <br /> igned `Notary Public 11m &4 S ' <br /> Commission Expires <br /> T-7� <br /> 11 My Commisslon Expires <br /> January 21,2016 <br />