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BUSINESS CERTIFICATE �T <br /> TOWN OF MASHPEE <br /> • Date: N' <br /> Expiration Date: A126130, 9019 <br /> In conformity with the provisions of Chapter 110, 45 of the Massachusetts General Laws, as amended, the <br /> undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: Liberty Liquors Corporation Name: Denrich Enterprises, Inc. <br /> is conducted at Business Location: 4 North Market Street Certificate No. 2011-022 <br /> Business Type: Retail Liquor Store <br /> New[ ] Renewal [q/commercial [] Residential [ ] Email Address: Sheebgh! tueen(2 &nl(04> • Nel <br /> Business Mailing Address: PO Box 1725 Mashpee, MA 02649 <br /> Business Telephone: 508-477-7788 Home [ ] Cell [ ] Phone: 508-447-7788 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Dena Rvmsha 12 Indian Summer Lane Sandwich, MA 02563 <br /> SlallIcertifyunder thePenaIt1 of perjury that f, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> state xes required oder law. <br /> O4 3a3g2510 <br /> 'Signature of authorizagent "Social Security Number <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification <br /> Number(Required) <br /> In case ofemergency <br /> NAME: L)PV1 Ct Rif /Ytn TELEPHONE NUMBER: 77`/ LQ 323 &070 <br /> Alarm Company: &luncc—Ap� <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,4 49A Massachusetts General Laws <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE: ss T^ DATE Mil l 20/4 <br /> Personally appeared before me the above-named L.Jcna. ym3 h� and made oath that the foregoing <br /> statement is true. <br /> A certifi to issu;a ,, <br /> c dance with this section shall be in force and effect for four years from the date of issue and shall be <br /> renew d each fou ars tho long as such business shall be conducted and shall lapse and b oiiq unless s//o)/rene%M. <br /> .Signe Notary Public _ iY. QX <br /> Deborah Dami <br /> ° NOTARY PUBLIC Commission Expires <br /> Commonwealth'of Massachusetts <br /> My commission Expires July 29,2016 <br />