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• BUSINESS CERTIFICATE 9 �I�I O 91C <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOIVAI OF MAS11 PF_E <br /> • DATE ,44 13�2�1d <br /> Expiration Date:.o=_�J/r <br /> j I 1 <br /> In conformity with the provisions of Chapter 110,§5 of the Massachusetts General Laws,os amended,the undersigned hereby declare(s) <br /> that a business under the tide of S <br /> Business Namc/DBA: ion Name��'lh <br /> is conducted at Business Location: touFal nl.it►� Rk-Z f)5 Commercials, Residential_ <br /> YY\ � V01 G1Zlp�1 <br /> Business Mai ling Address: =3a n�` Kt,IPtr Yrs <br /> �ec\C►�1 tree cflme�s, 3004 <br /> Business Type: Y X'\Gt-Q T1�G111'l�t'1n Business Telephone: ��k-mal <br /> �e.YuCcS 1 <br /> New JX4 Renewal Ilome Phane: Y1Q <br /> Email Address: INN\L-Y1 tnnt C �C\yYY1h�C <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> VSL A\ SQ-1rY� 4Zt�tr�1[�ert1 ��� <br /> ZtELc3Q�3� <br /> Second Owner Name Second Owner Address <br /> ' cenify 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 /> xes as required er <br /> •Signature o eyl oriz n "Social Security Number or <br /> or Federal Identification Number(Required) <br /> *This license will not be issued unless this certification is signed by applicant <br /> `! In case of emergency /-� <br /> Name. YY\Q.\\�lC\ F—\''�C�I��S I'elephone Number: ��-\ - `�'\ZIA— i,�p q <br /> Alarm Company: t(\ <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to cortecrtheir tion-filing or delinquency will he subject to licence sucnencinn or revocation. This request <br /> is made under the authority ofChapicr 62C.§49A ofMussachuscus General Laws. <br /> The Comma wealth of illorsocluiselrx 2 <br /> BARNS"fABLE ss /7,�����r �f DATE <br /> Personally appeared before me the above-named_�=ettxrti Clo�"` and made oath that the foregoing statement is we. <br /> A certificate issued in accordance with this action shall he in force and effect for lbur years from the date of issue and shall be renewed each <br /> ILur years thereaftr so Ion tv suc rosiness shall he conducted and shall lapse and be void unless so renewed. <br /> Signed ov <br /> allotaryPublic <br /> Slit 1. <br /> • DeborahI <br /> °11 NOTARY PUBLIC Commission Expires: <br /> t Commonwealth of Massachusetts <br /> My Commission Expires July 29,2016 <br />