Laserfiche WebLink
' BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE / <br /> • DATE �/2A '_;z re <br /> Expiration Date: s7 r90J V <br /> In conformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws,as amended,the undersigned hereby declare(s) <br /> that a business under the title of I I <br /> Business Name/DBA: �(A M—S DDOS Corporation Name: <br /> is conducted at Business Location: Toy) pfU Commercial_ Residential <br /> mg r II <br /> Business Type: ]n�C 16'sT� Business Telephone: —174- 5 2-1- 6155 <br /> New [v/] Renewaal [ ] Home Phone: <br /> Email Address: 3(n� me s�or}S t1IAl]• �pry1 1 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> C (al a log S0.0�1 d, `i). ,J VP <br /> ���n1 �r�sse I1 Masti MA a'�-&Lfz� <br /> Second Owner Name u Second Owner Address <br /> ®rtify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> tax as required under l <br /> -�( Li N * 27 - Z5� I 159 <br /> *"e a of authorized'a nt "Social Security Number or <br /> or Federal Identification Number(Required) <br /> "This license will not be issued unless this certification is signed by applicant <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 filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request <br /> is made under the authority of Chapter 62C. §49A of Massachusetts General Laws. <br /> The Commonwealth of Massachusetts BARNSTABLE ss ^-� DATEar�,�at�G ly <br /> Personally appeared before me the above-named i-erin:cat- of--Is e [( and made oath that the foregoing 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 renewed each <br /> four years th ea ft so long uch business shall be conducted and shall lapse and be void unless so renewed. <br /> Notary Public 1 tary Public <br /> SEAL Margaret C.Santos <br /> Commotrvrealtlt of Massachusetts �( d a -aO t, <br /> My Commission Expires on Sept.22,2017 Commission Expires: <br />