Laserfiche WebLink
ref 1, •r BUSINESS CERTIFICATE t4i]/�G161�4 <br /> S; <br /> THE COMA10iVFVEALTH OF MASSACHUSETTS <br /> • TO►VAt OF MASFIPEE <br /> DATE 3h/4 <br /> Expiration Date: <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 L, <br /> r lMfith �i7NlDlhP� Jn�I ' QC � PQaQ DBA �iOeC�� 111'060 is conducted at <br /> Business Location: � NM <br /> U!>ih Q( b.2ee PA ocieo W <br /> Business Mailing Ai _ <br /> ddress: P U t36 X 17JS V'7o"I e e HA0b?60YT -7 p _ <br /> Business Type: re-f , t I Business Telephone: 558 `'r!77--;7& <br /> HomePhonc: 6d)L1 8 -'73f33 <br /> by the following named persons: . <br /> FULL NAME RESIDENCE <br /> l e4a �Ichel�. Zynnh� �1w�„ aoflyen Ly) �-xrdtijkh r�I t�,i�63 <br /> �R-IdrhtCA Hohw-1 "R4 njicl X07 !rA6n AIC/ LJ 1 i1rl ,Jich 0�1SIo3 <br /> ]�eertify under t e peva ' s of perjt ry that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> � <br /> esarrequired�nde <br /> / W <br /> * _tattue of autho ' ed agent *Signature of authorized agent <br /> oy 3a 3 mini�� <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> In case of emergency <br /> NAME: I COCAAyrrl/l' nn TELEPHONENUMBER:SZ-8 y�� '?8b3 <br /> Alarm Company: {.r�-�r;✓-A(- Al at M . 77Y -2,38 _ (oO-W) <br /> *This license will not be issued unless this certification is signed by applicant <br /> **Your social security number will be furnished to the Massachusetts Deparmient 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 Snbieet to license suspension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts h <br /> BARNSTABLE ss DATE Q� �S o2oil <br /> Personally a e me the above-named se C�"KY.�yYI'b�L and made oath that the foregoing statement is <br /> true. <br /> A certifica is ed in accordance with this section shall be in force and effect for four years from the date of issue and shall be rencwcd <br /> cat four years there ter so ong as such b iness shall be conducted and shall lapse and be void unless so renewed. <br /> ted t <br /> QebpMh _ �1 <br /> NOTMv' Notary Pu <br /> SEAL d <br /> ,�„oenr++�6oraJr�rs,.� <br /> Commission Expires: <br />