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BUSINESS CER-rIFICATE# -24P <br /> THE COIIINIONVVCALTI/OF MASSACHUSET%S <br /> TO IVN OF IVASIIPEE <br /> DATE TO>Z <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 <br /> /�iirpq, coir/suP,o0 <br /> Business Name/DBA: yAn g!�g 5;S= 2zy_— sCorporation Name: is conducted at <br /> Business Location: .22 O/' <br /> Business Flailing Address: SO�iiP p <br /> Business Type:�66l�PT /iiu�/� Business-relephone: <br /> Home Phone: Email Address: /'���9/'3//��fL� /L��' <br /> by the following named persons: <br /> /-�,, Owner Name Owner Residence <br /> 6�//n /J <br /> /G/�Sfi/4�C' /ysg O.CGyf' <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 it d 'law. <br /> �natLire of autliorized 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 /> In case of emergency <br /> NANIE (fJ-lZ1-04 5149 In TELEPHONE NGtiIBER:7/y3M,3SZ <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 lax <br /> payment obligations. Licensees who fail to correct their non-filing or delinquency will be subiect to license suspension or revocation. This request <br /> is made under the authority of blassachusetts General Law,Chapter 62C, Section 49A. <br /> L The Cannionrvealth (if Massachusetts <br /> B.ARNSTA.BLE ss Q DATE ±0/ <br /> Personally appeared before me the above-named V)40t-v::> 600-ASU"6 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 Gom the date of issue and shall be renewed <br /> each four years thereafter= on aswsuchbus�be conducted and shall lapse and be void unless so renewed. <br /> Signe <br /> u <br /> JOSEPH L.M <br /> • SEAL e l Notary Public <br /> COMMONWEALTH OF W <br /> My Lartinvial41fo➢4Un Exp! •s: <br /> `�:/ Odo00r25.2013• <br />