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BUSINESS CERTIFICATE # �1 <br /> . 1 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE DATE <br /> • Expiration Date: !�pr d -.2,0 <br /> In conformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws,as amended,the undersigned hereby declare(s) <br /> that a business under the title of <br /> Business Name/DBA: E�A�2`jaAoP&ppU�C� �Corporation Name: <br /> 2I �1�7x�2t <br /> isconductedat Business Location: OvspovpDuyr, Commercial Residential <br /> Business Mailing Address: )x; y <br /> Business Type: CA O% b�a� 1 A TWi / Business Telephone: <br /> New XRenewal I ] Home Phone: <br /> Email Address: 62av Hol ' _ <br /> 1 <br /> y/ <br /> Viet <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> 419 I iaAiOM U13 fi t Mq- 3511 &M\vlcnk� oll Ave"IW,) oN rnr- <br /> Second Owner Name Second Owner Address <br /> Ortify 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 u- oder law. <br /> *Siignna(attur�otf�ta`utt'hhooriiizeedl agent (�p(J **Social Security Numberor <br /> or Federal Identification Number(Required) <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 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 suhiect to license suspension or revocation. This request <br /> is made under the authority of Chapter 62C. §49A of Massachusetts General Laws. <br /> The Comnronweahh of Massachusetts <br />� BARNSTABLE ss DATE , l tell <br /> Personally appeared before me the above-named I `� Lu6e FL, W.w� <br /> .os and made oath that the foregoing statement is 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 each <br /> four years thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> a <br /> �ed <br /> ` J Notary Public Y T \2 r <br /> UNotary Public <br /> S Margaret C.Santos <br /> �® Cort1. <br /> itttomveool Massachusettsa 4r . - Dr,t 1 <br /> �my witirissidii B(pires on Sept.22,2017 Commission Expires: <br />