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BUSINESS CERTIFICATE fAa2lLQ— <br /> THECOMMONWEALTHOFMASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE � J <br /> Expiration Date• / <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, <br /> the undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: Down to Earth Corporation Name: is <br /> conducted at Business Location: 9 Treasure Lane Commercial <br /> Residential <br /> Business Mailing Address: 9 Treasure Lane 9 Treasure Lane <br /> Business Type: Retail/On Line Telephone No. 508-477-3500 <br /> New I I Renewal I Home Phone: Email Address: <br /> by the following named persons: '— <br /> Owner Name Owner Residence <br /> Thomas O'Rourke Thomas O'Rourke <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 /> I <br /> *Signature of authorized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> NAME: TELEPHONE <br /> 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 Massachusetts General Law,Chapter 62C, Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss r� DATE <br /> Personally appeared before me the above-named G and made oath that the or oing <br /> statement is true. <br /> A cenificat e i acco nice it th' ection shall be in force and effect for four years from the date of issue and shall be <br /> r .wed each ears ther Iter s o g ' c 'iness shall be conducted and shall lapse and be v i less so renewed. <br /> Signed Notary Public <br /> X51 A�alccbl uIr 12 <br /> _ – ^ NOTARY PUBLIC <br /> Com mSM <br /> ly�rop Expires OcEALTH OF tel 16t,2020 <br /> Seal <br />