Certificate By Regulatory Board Form - Secretary Of The Commonwealth - The Commonwealth Of Massachusetts

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The Commonwealth of Massachusetts
William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachusetts 02108-1512
Certificate by Regulatory Board
In compliance with General Laws, Chapter 156C/108A the, __________________________________________ hereby certifies
(name of board)
that in connection with the formation/registration of: __________________________________________________________
(name of company/partnership)
a professional limited liability company/limited liability partnership formed to render ___________________________ services
(type of service)
the below listed members/partners are duly licensed or admitted to practice the profession listed above.
Member/Partners
Addresses
Signed by: ___________________________________________________________________________________________ ,
(chairman/clerk of the regulatory board)
on this _________________________ day of_________________________________________ , _____________________ .
Delete any inapplicable language.
certificatebyregboard 08/24/05

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