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BUSINESS CERTIFICATE oZ1 V—U v' / <br /> TOWN OF MASHPEE B <br /> • Date: ;901y <br /> Expiration Date: 7� 3� 1 [ <br /> S <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: E.L. Avant Enterptises Corporation Name: <br /> is conducted at Business Location: 153 Main StreetCertificate No. 2010-075 <br /> Business Type: Excavation <br /> New [ ] Renewal [ ] Commercial [ ] Residential [ ] Email Address: ellyvon@yahoo.com <br /> Business Mailing Address: 153 Main Street Mashpee, MA 02649 <br /> Business Telephone: 508-843-1303 Home [ ] Cell [ ] Phone: 508-477-7870 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Elliot Avant 153 Main Street Mashpee, MA 02649 <br /> •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 ta, es as requiZL <br /> L� 0�9 3 Ur6 yor-G <br /> r. i,cteu,.se <br /> re of authorized agent **Social Security Number <br /> 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 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 ofMassa chuserrs <br /> BARNSTABLE: ss DATE �Cc Cf a0 (4 <br /> t <br /> Personally appeared before me the above-named \4V(JT)r1 <br /> 4VUnrt e `f rVC V1'-[- and made oath that the foregoing <br /> statement is true. <br /> A certtate issued in ace dance with this section shall be in force and effect for four years from the date of issue and shall be <br /> newcd c a years therecaanc go long ps such business shall be conducted and shall lapse and be void unless so re C%% <br /> igned Notary Public D!i 1 <br /> ,J <br /> ®' c �NoteryPublic mmission Expires q -�>-�t� <br /> Margaret O.Santos <br /> Commonwealth of Massachusetts <br /> My Commission Expires on Sepl.22,2017 <br />