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• BUSINESS CERTIFICATE a <br /> TOWN OF MASHPEE <br /> Date: o.c 13 o701V <br /> Expiration Date: 200ci_"C. t' �k . t a01 y <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 /> Business Name/DBA: Cape Kids Corporation Name: <br /> (OM; t SM . p�© D�Z2� <br /> i 0 NorM 5F. , VkiS(n�u. <br /> is conducted at Business Location: Certificate No. 2010-069 <br /> Business Type: Clo/thing Retailer <br /> New [` ] Renewal 1)"I loCommercial [ ] Residential [ ] Email Address: lorridevlin@gmail.com <br /> L <br /> Business Mailing Address: 820 Main Street Cotuit, MA 02635 <br /> Business Telephone: 508-420-1340 Home [ ] Cell [ ] Phone: 508-420-1340 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> I <br /> Lorri Devlin 820 Main Street Cotuit, MA 02635 <br /> i <br /> certify under the pe Ities of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state taxes as r uired under law. <br /> 27-092- ,5/a- <br /> 'Signatr of thorized 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: OVr( 1),e(Ifll(/L TELEPHONE NUMBER: 95� /��� <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 �Z1 1c 1 <br /> Personally appeared before me the above-named 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 /> renewed each to year thereafter so long as such bu 'ness shall be conducted and shall lapse and be vctid unless so renewed. <br /> igned Notary Public <br /> Commission Expires <br /> KRISTEN REDDING <br /> • Notary Public <br /> C.ommortwealth of Messachumb <br /> MY Commission Expires September 4 2019 <br />