Laserfiche WebLink
BUSINESS CERTIFICATE cril S'CXJ�� <br /> TOWN OF MASHPEE <br /> • Date: O h� <br /> Expiration Date dol <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: Illusions Hair Salon Corporation Name: <br /> is conducted at Business Location: 24 Steeple Street Certificate No. 2010-039 <br /> Business Type: Hair Salon <br /> New Renewal]/ommercial [ ] Residential [ ] Email Address:ZV\vS'wASk4�r <br /> cow. <br /> Business Mailing Address: PO Box 2044 Mashpee, MA 02649 <br /> Business Telephone: 508-477-0997 Home [ ] Cell [ ] Phone: 508-539-6658 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Joanne Hathaway 372 Cotuit Road Sandwich, MA 02563 <br /> •1 certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state taxes as required under law. <br /> *Signature of authorized agent **Social Security Number <br /> *This license will not be issued unless this certification is signed by applicant or Federal Identification <br /> Number(Required) <br /> In case of emergency 1Q <br /> NAME: USS TELEPHONE NUMBER: "a-i's­7—� 3 <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 <br /> BARNSTABLE: ss '^ n' p DATE('30 T <br /> Personally appeared before me the above-named f r1�-h Lapin e0S,3 and made oath that the foregoing <br /> 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 <br /> renewed eac our,,y,,,,e�ar�,sl�thereafter so Ion as such business shall be conducted and shall lapse and be void unless so re`ne/wed.^ <br /> igned c^""-' � � Notary Publitr_Y\ec.c.ti t%�1i0 13A <br /> Notary Publir, Commission Expires g • d a �� <br /> � Margaret C. SantoE <br /> �� CommottvreaBh of Massaa'tu�ZOt7 <br /> My Commissbn Expires on Sept. <br />