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BUSINESS CERTIFICATE # <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO 141/V OF MASHPEE <br /> DATE �f>� lI <br /> • Expiration Date: 3 3 <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 /> Business Name/DBA: VEA A E Corporation Name: VefD& TGo2A L -CS/6 Ai conducted at <br /> I C� <br /> Business Location: IS c,I/V TA /-V ST /y14S'd 1oeF <br /> Business Mailing Address: ela SAZ-rr 1411oe5H L19AZF /pGCA -95;57 <br /> i <br /> Business Type: PLO.e/ST Business Telephone: <br /> ]come Phone: Z/A3—3-JZ/ —/&S / Email Address:./2)OA),9 /_-!qG COM C41 ST N Lr <br /> by the following named persons: <br /> Owner Nam - Owner Residence <br /> 14 L� <br /> C c),2 <br /> I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> taxes as required under law. <br /> S <br /> g",eoforized agent "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> "Your social security number will be furnished io the Massachusetts Department of Revenue to determine whether you have mct tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subicct to license suspension or revocation. This request . <br /> is made under the authority of Massachusetts General Law,Chaptcr 62C, Section 49A. <br /> The Conunonwealth ofMassnchusetrs 3/ <br /> BARNSTABLE ss DATES �41/ <br /> Personally appeared before me the above-name <n made oath that the foregoing statement is <br /> true. <br /> A certificate issued in accordance with this section shall be in force and effect fo 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 so renewed. <br /> Signed 191 <br /> SEAL Notary �c 'I�COMMONWEALTH OF MRSSACNUB� <br /> farrcmss^`FAtirn� <br /> `SP1 p�riI�AEx i <br />