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- BUSINESS CERTIFICATE# ZiOl"00 a <br /> THE COMMONWEALTH OF MASSACHUSETTS' <br /> TO N 1V OF N/ASHPEE <br /> DA"fL- � <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 \1 <br /> Business Name/DBA:-'M 1`?- ule( U/7i_C11orporation-"N�arne-:, � }V'�[�Y^Q�r�nO117 �Q5 is conducted at <br /> Business Location: �-�'r_ 15 ) , J hl"1 - 1 R L a 11W M'>•7 <br /> BusinessMailiugAddress: � J l �� - f.]r I �J1�.� '�' � �Uyl�t�ll� a�t[1'y0 <br /> Business"Type: ' __ j(rGll� %� / Business Telephone: I /S!//� " 4/ 77 '- 'Y/}�7�,yp� <br /> Home Phone: �� 112, —D� Email Address: ���a �rmlS& g6WI4NJ' <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> �tii�s�s-�- �, II Fan Qre�im-oma 2� l.On, 1�aV r��e�� Il c <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 /> �gnature of authorized 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 /> Lt case of emergency <br /> NAME: SV�•o J a p �i mnS TELEPHONE NUMBER: <br /> Alami Company: Cm arr, <br /> "•Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax fling or tax <br /> payment obligations. Licensees who fail to correct their non-filing or dcl inquency will be sub Feet to license susuension or revocation. This request <br /> is made under the authority of Massachusetts General Law,Chapter 62C, Section 49A. <br /> The GnnntonmenGh of Massachusetts <br /> BARNSTABLE ss DATE 3 -a4 --Xo u <br /> Personally appeared before me the above-named T1 QPt V4re4r'mo5 and made oath that the foregoing statement is <br /> true. <br /> A 't icate issued in • cordance with this section shall be in force and effect for four years from the date of issue and shall be renewed <br /> each four y r •re fte's long t h b tsiness shall be conducted and shall lapse and be void unless so renewed. <br /> i <br /> Signed <br /> i otary Public <br /> • � EAL Notary Public �_ a �_ .� I� <br /> Margaret C. Sentos <br /> CommonWeaAh of Gaasechosetts Commission Expires: <br /> MY Commisslon'Eu res on Sept 22,20t 7 <br />