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( M <br /> BUSINESS CERTIFICATE# 10- <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> • TOWN OF MASHPEE <br /> DATE DECEMBER 2 , 2009 <br /> Expiration Date: December 31, 2014 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of PARTNERSHIP <br /> DFTFR T TArnRCnN PT,UMRTNC & HFA'i9LI�C: PETER L JACOBSDN"PLUMBING &isHRA&0WG at <br /> Business Location: 71 BIVFR RnAD MASHPFF, MA 02649 <br /> Business Mailing Address: 71RIVERROAD, MASHPFF, MA 02649 <br /> Business Type: nT1lMg:rNr_ x. HEATING Business Telephone: 508_477-9333 <br /> Home Phone: 508-477-4651 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> PETER LARS JACOBSON JR 30 ORCHARD ROAD, MASHPEE, MA 02649 <br /> F.T.-qTF ARTFAN .TArOR8t1N 71 RIVER ROAD, MASHPEE, MA 02649 <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 all state <br /> s as required under law. <br /> J <br /> *Signature of autho •ed agent *Signature of authorized agent <br /> 04-3232937 <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number - <br /> In case of emergency <br /> NAME: PETER L JACOBSON JR TELEPHONE NUMBER: 508-367-5930 <br /> Alarm Company: CELLPHONE <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Your social security number will be fumished 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 Massachusetts General Law,Chapter 62C,Section 49A. <br /> BARNSTABLE ss <br /> The Commonwealth of Massachusetts DATE pec C�r 2-000 9 <br /> d. <br /> Personally appeared before me the above-named LSlE l r 4 c��s�� <br /> Jand made oath that the foregoing statement is <br /> 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 <br /> each four years thereafter so long as such business shall be conducted and shall lapse and be void unless o renewed. <br /> Signed / SII <br /> ly— <br /> • DeboMh D8fl11 No <br /> SEAL NOTARY PUBLIC <br /> Commonwealth of MassachusM Commission Expires: <br /> My Commission Expires July 29.2016 <br />