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BUSINESS CERTIFICATE sa015-OI 3 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE '2 123�2ca15 <br /> • Expiration Date: a/aso/ang <br /> Inconformity 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 I I f f - <br /> Business Name/DBA: �!�D. �'l.�%. e Unllmt{Gp Corporation Name: l `O171� e U/111 m I K O`` <br /> is conducted at Business Location: 9 wcs.tV Commercial_ Residential ✓ <br /> p <br /> Business Mailing,Address: 1 _ DeAj l k0_1 ,Cyt Wa=y Maz�rw �A C)26q,Q <br /> Business Type: /-Ir�b km li�w 6lpk:ar(• Business Telephone: -77q " X536 "qO/1 <br /> New ( � Renewal Home Phone: . 477— 6538 <br /> Email Address: �/ntlLlGo @(altai� LOm <br /> by the following named persons: <br /> Owner Name Owner Residence ',/ <br /> Second Owner Name Second Owner Address <br /> Ileify 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 /> s as required under.4aw. <br /> _ Olff- - ggg9 <br /> *Signature of auThorized agent "Social Security Number or <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: mope- Cgx, Telephone Number: 500, -)LW - GW5 <br /> Alarm Company: <br /> **Your social security number will be famished 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 Chapter 62C, §49A of Massachusetts General Laws, <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE <br /> {� a-J3 'rf5 <br /> Personally appeared before me the above-named fry CU 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 thereafterso o g 7h h business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> • '~• - Notary Public r an, Public <br /> T­i• y MaryaretC. Santoe <br /> �'^:^�••^al+hof Massachusetts ej 2 -aOI� <br /> " M}'t"iL53'.oi G.,: •.n;aDL22,2017 <br /> - Commission Expires: <br /> I <br />