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!' BUSINESS CERTIFICATE )/ v <br /> TOWN OF MASHPEE <br /> Date: <br /> q ltil 1 <br /> Expiration Date: (� <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as <br /> amended, the undersigned hereby declare(s) that a business under the title of <br /> i <br /> Business Name/DBA: New Perspectives #-o - orkoLCration Name: Grohe Inc. <br /> is conducted at Business Location: 34 Windsor Point Certificate No. 2010-063 <br /> Business Type: Consulting/Painting <br /> 1%?) leu r? Ge e <br /> New [ ] Renewal NJ Commercial [ ] Residential [W Email Address: giafie_�fdaSt.net <br /> N� <br /> Business Mailing Address: 34 Windsor Point Mashpee, MA 02649 <br /> Business Telephone: 774-994-1969 Home ( ] Cell'[ ] Phone: 774-994-1969 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> rel <br /> AchtuF6rahtf' 34 Windsor Point ^ <br /> Y�ONWA- G 6ni�-�� <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 taxes as required under law. <br /> *Signature of authorized agent **Social Security Number(Voluntary) <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification Number <br /> In case of emergency <br /> NAME::TL,�,t f7 TELEPHONE NUMBER���- 9C�Q <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 Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE, ss ,. /� DATE I/ / <br /> Personally appeared before me the above-named auk /�' Cy f-0 N'0— and made oath that the foregoing <br /> statement is true. <br /> A cer icate 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 fo7 years thereafter longas such business shall be conducted and shall lapse and be void unless so renewed. <br /> igned / fi+ t/Y��O^{6L. Notary Public <br /> Commission Expir JOSEPHLMA22UtxFiEW,JR <br /> wuMorlwEatnf OFuacvclalSEM <br /> My COMM.Explrea OCL 16,2020 <br />