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BUSINESS CERTIFICATE 6261"1-657 <br /> TOWN OF MASHPEE <br /> • Date: I u <br /> Expiration Date: _ a U 1 Li <br /> In conformity with the provisions of Chapter 110, 45 of the Massachusetts General Laws, as amended, the <br /> undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: A Clear View Autoglass Corporation Name: <br /> is conducted at Business Location: 191 Wheeler Road Certificate No. 2010-076 <br /> Business Type: Autoglass <br /> New [ ] Renewal [ ] Commercial [ ] Residential [ ] Email Address: aclearviewglass@gmail.com <br /> Business Mailing Address: 191 Wheeler Road Mashpee, MA 02649 <br /> Business Telephone: 508-477-0433 Home [ ] Cell [ ] Phone: 508-477-0433 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Gregory Fierro 191 Wheeler Road Mashpee, MA 02649 <br /> • 1 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 toloas requ' d under law. <br /> *Signature o 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 <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 besubiect to license suspension or <br /> revocation. This request is made under the authority of Chapter 62C,4 49A Massachusetts General Laws <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE: ss DATE --Y`f -eu: t a0t44 <br /> Personally appeared before me the above-named Gre! >r f,.,c t U 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 /> Oncwed ea ur years er r so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> gned Notary Public <br /> � mx� <br /> ublics '-. •., <br /> ®� :Saritos ` Commission Expires al - a- r7 <br /> assaitusetls' - <br /> MY on Sept.22,2017 <br /> yL'0.a: y•. <br />