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BUSINESS CERTIFICATE# ( /O—1 OS <br /> • THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATESaO� m�c�. t� 20 10 <br /> Expiration Date: ao t tt <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 <br /> 8 �k F100X CCVe4.tlt ty ZNC. DBA is conducted at <br /> Business Location: 6 Li ' i'ALMQUJ Po.4Cr 'MVIrSLPU, MA 0'lQ4J <br /> Business Mailing Address: � $LI FALono,)A Iro.9M1%ixat C V014 O2Uy5 <br /> Business Type: A?e I Business Telephone: SOg. (9,42" '1/20 <br /> Home Phone: ,SO$- GytT_q)Le <br /> by the following named persons:FULL <br /> �j <br /> l ie OLSOiA1� gyp /y1/3 ✓ Sf E /�flJ�plC i241i1 02 <br /> 4, <br /> V, <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 /> taxes as requunder law. <br /> • }Signature of authorized agent 'Signature of authorized agent <br /> "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> /�1t ^^'' ,n,,^, In case of emergency <br /> NAME: i�ffle. E TELEPHONE NUMBER: SOS'�4 9,L'0 <br /> Alarm Company: <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 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 taw,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts BARNSTABLE ss DATE'�m b.r,.. 1 y,,ar lb <br /> Personally appeared before me the above-named GPn e 0\5 0r and made oath that the foregoing statement is j <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 thereaftef so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed 4L//�'ZZ <br /> a � <br /> �11�.etrar,� <br /> Notary Public <br /> SEAL <br /> Margaret C. Santos cj 24- 3010 <br /> NOTARY PUBLIC Commission Expires: <br /> �'� Commonwealth of Massachusetts <br /> vly Commission Expires Sept.24,2010 <br />