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• BUSINESS CERTIFICATE - i o l <br /> TOWN OF MASHPEE <br /> • Date: �L""'lu. . X14 <br /> Expiration Date: Sir 'Vn br r 3`�, 3G\ ? <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: Educational Resources Management Corporation Name: <br /> I <br /> is conducted at Business location: 18 Rolling Green Lane Certificate No. 2007-043 <br /> Business Type: Consultant <br /> New [ ] Renewal [ ] Commercial [ ] Residential [ ] Email Address: bobbywgmn@aol.com <br /> Business Mailing Address: 18 Rolling Green Lane Mashpee, MA 02649 <br /> Business Telephone: 617-283-2985 Home [ ] Cell [ ] Phone: 617-283-2985 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Arthur Wadman 18 Rolling Green Lane 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 <br /> all state taxes as required under law. <br /> 0 a 3 - 26- G 5-Sr- 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 Number <br /> (Required) <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 <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 ��11 <br /> BARNSTABLE: ss DATE app vn Ian r . O� •dCJ t/ <br /> Personally appeared before me the above-named 1 )r3---kkiJr W CL so rrtca and made oath that the foregoing <br /> statement is true. <br /> A cetate issued in accordance with this section shall be in force and effect for four years from the date of issue and shall be <br /> • renewed eat f r ears therea l0. g a such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed ✓moi Notary Public Gc-c._C� <br /> �— <br /> . Notary ubfio of a a- ao I <br /> Margaret C. Santos Commission Expires <br /> 1 Commomrea.of <br /> Massachusetts <br /> `my commission Expires on Sept Y1,2017 <br /> J <br />