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BUSINESS CERTIFICATE <br /> TOWN OF MASHPEE <br /> Date:. <br /> Expiration Date: 1 <br /> In conformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws, as amended, the <br /> undersigned hereby declare(s) that a business under the title of <br /> Business Name/DBA: The Pizza Guyz Corporation Name: The Varetimos Brothers <br /> is conducted at Business Location: 439 Nathan Ellis Highway Certificate No. 2011-027 <br /> Business Type: Restaurant <br /> New[ Renewal Commercial [J Residential [ ] Email Address: 0. \S .�1GY��1 A�I •t v' <br /> Business Mailing Address: 27 Chuckles Way Marstons Mills, MA 02648 <br /> Business Telephone: 508-477-4077 Home [ ] Cell [ ] Phone: 508-477-4077 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Christos Varetimos <br /> •I ce t under[he penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> a I st�a` taxes as re Muir d under law. <br /> *SI nat re f authorized agent **Social Security Number <br /> This ' rise will not be issued unless this certification is signed by applicant or Federal Identification <br /> Number(Required) <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <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,§49A Massachusetts General Laws <br /> The Commonwealth of Massachusetts n _ <br /> BARNSTABLE: ss DATE J( F3 QZL <br /> Personally appeared before me the above-named . ) (i4n V4 re(-i rrtd and made oath that the foregoing <br /> statement is true. <br /> A cc 'ficate issued i aAcordwiththissection shall be in force and effect for four years from the date of issue and shall be <br /> renewedeac fo r years the a esuch business shall be conducted and shall lapse and be void unless so renewed. <br /> •Signe Notary Public��,A <br /> _ Notery_Public Commission Expires <br /> .i Me gaiet.0.Santos <br /> COmnlonwealth of Massachusetts <br /> Commission Expires on Seat.22 2017 <br />