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BUSINESS CERTIFICATE# 07_: p 2. <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TO►V7V OF MASHPEE <br /> • DATE y1. 11I01 <br /> Expiration Date: December 31, 2011 <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 /> Y ho • a r Li e S DBA is conducted at <br /> Business Location:6e,4, Onno Popprine sse_f Markow tplaA59 Shorty bt '44-7D '7D MdShpee. MA <br /> 1 T T' 02b4rj — <br /> Business Mailing <br /> rAddress: p•r7. 60)( 625- MQshpm MA 021ot49 <br /> Business Type: A(}j S+ Business Telephone: 508.t4-1-1. 80-51 <br /> by the following named persons: <br /> FULL NAME RESIDENCE <br /> RPS rCrr 14 • r�nnn t1,dQ MA 02ggq <br /> Home Phone: `J05-Lt-77. 233y <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 /> xes as required under law. <br /> *Signature of authorized agent *Signature of authorized agent <br /> 91 IX2 LigLi►. <br /> **Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> .In case of emergency " <br /> NAME: TELEPHONE NUMBER: <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 Law,Chapter 62C,Section 49A. . <br /> The Commonwealth ofMassachasetts <br /> BARN'STABLE ssDATE <br /> ((�� <br /> Personally appeared before me the above-named ICa11Q.rU'G and made oath that the foregoing statement is <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 yews thereafter so long as such business shall be conducted and shall lapse and be void unless so renewed. <br /> ed <br /> SEAL Deborah F. Dami <br /> c� NOTARY PUBLIC <br /> Commolrv+ealth of Massachusetts Commission Expires: <br /> My Commission Expires July 24,2009 <br />