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BUSINESS CERTIFICATE q 16 <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> • Expiration Date: fayaa_,anli <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 G o�� <br /> Business Name/DBA: 3 S'/ 5 t C/L S T—n Ve f f_lyel+t Corporation Name: <br /> y!/L( It yuan! _S <br /> 0 '4,f ( C m- OZ'"' � v <br /> is conducted at Business Location: QQ 4 Commercial— Residential_ <br /> Business Mailing Address: eb 7o X Z3 y a 5 bpCC ILIA O 2 `V / <br /> Business Type: 'F_)Lie f W-tT_S Business Telephone: c 1 A 6 Z -O &L� <br /> New [ Renewal [ ] Home Phone: . <br /> Email Address: LOu 50 5 YMP' <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Z51df'f <br /> C-oc.(s Pome_)tc Sost� tr.o c�l�e( t�dw<� Oct tet, 61iPPF ,Gia <br /> Second Owner Name Second Owner Address <br /> ify 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 /> es as required der Igw <br /> *Signat a 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 p <br /> Name: �� M ° 59S' v� Telephone Number: 5-00 <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 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 LLCG4 1 2 � <br /> Personally appeared before me the above-named&A S SUS f i I ' U and made oath that the foregoing statement is true. <br /> A certificate issued in ac nee 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 a c usiness al be conducted and shall lapse and be void unless so renewed. <br /> ed \ <br /> � NotaryPublic C<-C l'J tary Public <br /> Margaret C.Santos <br /> Commonwealth of Massachusetts <br /> 11my Commission Expires on Sept.22,2017 <br /> Commission Expires: <br />