Laserfiche WebLink
BUSINESS CERTIFICATE I a 5— <br /> TOWN OF MASHPEE , <br /> Date: /0����T <br /> Expiration Date: C_tjober 3tr aol Y <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: Cape Cod Educational Consulting Corporation Name: <br /> is conducted at Business Location: 55 Pond Circle Certificate No. 2010-104 <br /> Business Type: Educational Consulting <br /> New [ ] Renewal []Commercial [ ] Residential [ ] Email Address: capecodconsult@gmail.com <br /> Business Mailing Address: 55 Pond Circle Mashpee, MA 02649 <br /> Business Telephone: 508-539-9487 Home [ ] Cell [✓]/Phone: 508-360-9488 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Lorna Ibbitson 55 Pond Circle Mashpee, MA 02649 <br /> .I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state es as required under law. <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 /> NAME: V!/l/Ci T/�Q,/ (�� ,✓ ((�� TELEPHONE NUMBER: <br /> Alarm Company: Peo- 9'Pd -,201,r7 <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 QC <br /> � L <br /> BARNSTABLE: ss DATE WID bit,. I_ aP ILI <br /> / _ <br /> Personally appeared before me the above-named l o ter1C- 1..66i i son 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 /> renewed each four rs thereafter so long as suc usiness shall be conducted and shall lapse and be void unless so renewed. <br /> Signed b, t Notary Public Cc.aaA7A C S <br /> Notary Public Commission Expires Q as—a0(7 <br /> Margaret C.Santos <br /> 4 CommornveaBhofMassaalusatls <br /> `�My Commission Ezphes on Sept 22,21117 <br />