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21 BENGAL LN - BPA-16-352 SHEET METAL
Commonwealth of Massachusetts RECEIVED ASPEC ZONAL SERVICES Sheet Metal Permit Date: I �, ( Permit# 201b MAY 19 P 2 Sb f Estimated Job Cost: $ cy_�t Do Permit Fee: $ �� G r4 Plans Submitted: YES NO Plans Reviewed: YES_ NO If) Business License#t2 Qa- Applicant License # a-1 yy Business Information: Property Owner/Job Location Information: � ��.c. Name: `e X C�✓�L ��—�C � Name: t (� �{� t` Street:01 (-s t` Street: I `}�„�A 1 r t ✓`fL City/Town: 1 22�bkLx �n. M C I:�Ol City/Town: Telephone: b 1 -7 , _Z3 l+(o Telephone:011 '8-, J L'S• Lb 4 Photo I.D. required/Copy of Photo I.D. attached: YES NO_ Staff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family` Multi-family_ Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: — Renovation: HVAC_ Metal Watershed Roofing Kitchen Exhaust System_ Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: JCG_(1�e-e- C1�P� Ili p N tr Tp CL.C . S [Z-7 , - -------------- INSURANCE COVERAGE: I have a current liabilityinsurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes�o❑ p riate box below:the appropriate If you have checked Yes, indicate by type of coverage y checking A liability insurance policy Other type of indemnity ❑ Bonddo insurance coverage❑ required by Chapter 112 of the nothaySthe Massachusetts INSURANCE GeneralWAIVER: I am Laws,and that waremy that at te tune licensee this peon t application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of/Owner or Owner's Agent By chocking this box(tl,l hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowlede and that al shoot metal work and ons In compliance with all pertinent prov sion of the(Massachusetts Building Code eand Chapter 112 of he Gener d under the prmit issued for thif application will be al Laws. Duct Inspection required prior to Insulation Installation: YES NO Prarress Insacctions Connnents D_ite FinaltsL Comments D:�tu Type of License: By ... ❑ Master < I hue ❑ Master-Restricted i �uneYP erson Signature of Licensee �npro.vn ------------ I ❑Journeyperson-Restricted License Number: 71y!:� ncei ---- -- Check at•.v•v•v n 'IL I I Inspector Signature of Permit Approval The Commonwealth of Massachusetts; Department of Industrial Acciden;s,, Office of Investigations u,p 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organiiation/Individual): ADDARIO'S PLB. -INC Address: 2 Gill Street Suite J City/State/Zip: Woburn, MA 01801 Phone #: 877.2 ,3.2746 Are you an employer?Check the appropriate box: , `. Type of project(required): 1. I am a employer with 12 4. El am a general contractor ana I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors' 2.❑ 1 am a sole proprietor or partner- listed'on the'attached sheet. t I, 7. ❑ Remodeling ship and have no employees These sub-contractors have '1 8. ❑ Demolition working for me in any capacity. workers' comp. insurance �;:; 9. ❑ Building addition [No workers' comp;insurance 5. ❑ We are a corporation and its required.], officers have-exercised their , 10.§FIE]ectrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11. Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no i+ 12.❑ Roof repairs insurance required.] t employees. [[No workers' ;; 13.❑ Other comp. insurance required.] *Any applicant that checks box#1-must also fill out the section below showing their workers'compe lation vAicy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contr'$Ctprs';i'p?st submit a new affidavit indicating such. ;Contractors that check this box most attached an additional sheet showing the name of the subcontrn6rs'arp their workers'comp.policy information. I am an employer that is providing workers'compensation insurancefor my employees. Below is the policy and job site information Insurance Company Name: FEDERAL MUTUAL INSURANCE COMPANY Policy#or Selfins:Lic.#: 9306944 Expiration Date:. DECEMBEyRy,29, 2016r Job Site Address: �PiX���GI�B Ctty/St;:.te/Zip�� I. Attach a copy of the workers'compensation policy declaration page(showmg4he iolicy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead tri$e imposition of criminal penalties of a fine up to$1,500:00 and/or one-year imprisonment,as well as civil penalties in the.forn of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this stateme!Q.m y be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ynde. �ain � [ties erjury that the information prodded abovq is t «e and correct. Signature: I Pate, <: / O �4 Phone#: 877.233.2746 Official use only. Do not write in this area,to be completed by city or town q1r lull ` City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical.Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS _CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the Policy,Certain policies may require an endorsement.A statement On this certificate does not confer rights to the certificate holder In lieu Of such endorsement(s)- PRODUCER CO NTACT FEDERATED MUTUAL INSURANCE COMPANY CLIENT CQhITACT CENTER HOME OFFICE:P.O.BOX 328 O E East):888-333.4949 FAX laic,No:507-446.4664 OWA70NNA,MN SSWADDRESS:CUENTCONTACTCENT FEDINS.COM INSURERS AFFORDING COVERAGE NAIC F INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 277-716-7 INSURER B: ADDARIO INCORPORATED INSURER C: 2 GILL ST STE J WOBURN, MA 01801-1721 INSURER W. INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE INSR OL SUM POLICY EFi POLICY EXP POLICY NUMBERIMMIDDIYYYYI LIMITS COMMERCIALGENERI LIABILITY EACH OCCURRENCE U$2,OOD,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED X BUSINESS OWNER'S LIABILITY MED EXP HAM eee Pence) A N N 9416513 03/13/2016 03/13/2017 PERSONAL&ADV INJURY GENT AOOR GATE LIMIT APPLIES PER: GENERA AOOREOATE X POLICY JFERCT ❑LOO PRODUCTS-COMPIOP AGO OTNER: AUTOMOBILE LUBILITY COMBINED,selffaff 6INOM LIMIT $1 000 000 X ANY AUTO BODILY INJURY(Per Person) A ALL AMOOSSCHEDULED N N 9416614 03/13/2016 03/13/2017 BODILY INJuRY IPer ecelOenU HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE (Par ISFIderel UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AOOREGATE DED I I RETENTION WORKERS COLMPENSAIMON X PEP STATUTE AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ram 000 A OFHCERIMEMBER EXCLUDED? NIA N 9306944 12/29/2015 12/29/2016 (MMN&Mory In NH) E.L DISEASE-EA EMPLOYEE $500,000 If WF,&eoffPO order DESCRIPTION OF OPERATIONS 0elow EX DISEASE-POLICY LIMIT $5OO ODO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IA1OG1 ACORD 101.Aedifimal RaeVrk,SCNBIIe,if more"am Is reMufre/l THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE O 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101)-. - The ACORD name and logo are registered marks of ACORD r: OMMONWEALTH OF MASAHUSETTS • goals A - SHEET I rSTA WORKERS ISSUES THE FOLLOWING LICI ,- SAS A r r { r>=v It JQ PERSON UNR STRI TaED►- f ., it JQS,EPH R ADDARIO { RESTON RD�, } SALE II ; ��414970-*131 /2812017 :, 25473 , " • � w' I �.� s L . J oLeto Oa NO"d Et 9 of E ' RZ66S or�w �,oz (r( on Pt Ysn SN3�1 Y 2 Alud �., 4 CV T� + �`----•+ 1�. rVt:L!�• •' rS��Ha, S�S`� Commomvealth of Massachusetts Sheet Metal Permit Date PCI'Imlt 7J listintated Joh Cost: S -- -- Permit Pee: 'S--- I'I;uts Submitted: YES _ NO'N Plans Reviewed: YES Business License # Applicant License # 13usiness flit.ormation: �- Property Owncr/Job Location information: Name: �/�la /U 5 / !%� Name: 4, � '� Street: i City/'Town: �jt/�,bU;y1 -' A City/Town: ` r�Ps✓I Telephone: 23 VLI&--900 Telephone: Y9-- Photo I.D. required/Copy of Photo I.D. attached: YES_ NO_ J-1 / J1-1-unrestricted license smrmm�,n J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family-2 Multi-family— Condo/Townhouses _ Other Commercial: Office— Retail_ industrial _ Educational _ Institutional Other Square Footage: under 10 00 � —b 0 sq. ft. over 10 000 s . tt. ,q Number umbcrofStorics: Sheet metal work to be completed: New Work: — Renovation: IIVAC_ lkletal Watershed Roofing_ Kitchen Exhaust System, _ Metal Chimney/ Vents_ Air Balancing— Provide detailed description of work to be done: INSURANCE COVERAGE: e requirements of M.G.L.Ch. 112 Yes 1 I have a current bili insurance policy or its equivalent which meets th lia �o❑ _ e of coverage by checking the appropriate box below: If you have checked Yes, Indicate the type good ❑ A liability Insurance policy NJf/ Other type of indemnity ❑ waive this requirement. OWNER'S INSURANCE WAIVER: i am aware that the licensee does Ve the Insurance coverage required by Chapter 112 o the Massachusetts General Laws,and that my signature on this permit application_� Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By chocking this boalt7,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and In compliance e best of per knowlede and tinent ant prow aloe ofat sit sheet metal wo ts Brk and uilding Code ealnd Chapter 112 of tundhe Gene aaler the nLawsusd for this application will be accurate to ith ll the to Insulation Installation: YES NO Duct inspection required prlor Prorrress Inspections Com_ 11lents Date Final It��ti_-lit Comments D:�te 51-1 Type of License: YI i © ❑ Master y i tole -_ ❑Master-Restricted u`ry:ro•.,n ____-_.------------ ❑JOurneyperson k1gliaensee parn„t z —_.------- ❑Journeyperson-Restricted License Number: rod 3 --- --- - - - -- Check Inspoctor Signaluro of Permit Approval - _ The Commonwealth ofMassachusei! Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Coutractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ADDARIO'S PLB. iNC Address: 2 Gill Street Suite J City/State/Zip: Woburn, MA 01801 Phone #: 877.233.2746 Are you an employer?Check the appropriate box: Type of project(required): 1.E/, am a employer with 12 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have a 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp: insurance 5. El We are a corporation and its required.] officers have exercised their . I O.�Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.5fPlumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 1. 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contiidors tb?st submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the time of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: FEDERAL MUTUAL INSURANCE COMPANY Policy #or Self-ins. Lic. #: 9306944 Expiration Date: DECEMBE/R,,29, 2016 Job Site Address:al ✓..J ,rm/�G{/�G' Ctty/St;to/Zip (A1tqJ7i /IW /2ix-9 Attach a copy of the workers' compensation policy declaration page(showinff'the iolicy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead try tEv imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the for•n of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this stateme!rt tnsy be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ynde ai !lies erjury that the information prodded a�boov is h re/and correct. Sign re: / Pate:'. Phone#: 877.233.2746 -- Official use only. Do not write in this area,to be completed by city or town ogrcial City or Town: Permit/License Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other r Contact P rson: Phone#: •' i A �bla CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NORIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and'COndltlons of the policy,certain Policies may require an endorsement.A statement On this certificate does not confer rights 10 the certificate holder In lieu of such endorsements. 'RODUCER COKTAM :EDERATED MUTUAL INSURANCE COMPANY COME OFFICE:P.O.BOX 328 a�ONxo EM:888-333-4949 Fw CLIENT CONTACT CENTER Xc a.):507-4464664 YWATONNA, MN 55060 AOORFSs:CLI NTCONTACTCE ER FEDI .COM INSURERS AFFORDING COVERAGE NAIC H INSURER a FEDERATED MUTUAL INSURANCE COMPANY 13935 4SURED 277-716-7 INSURER B: LDDARIO INCORPORATED INSURER C: GILL ST STE J YOBURN, MA 01801-1721 INSURER 0: INSURER E: INSURER is :OVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 43R TYPE OF INSURANCE rUA)L SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED $100,000 X BUSINESS OWNER'S LIABILITY LIED EXP C"ere,Pereenl A N N 9416613 03/13/2016 03/13/2017 PERSONALS ADV INJURY $1,000,000 OENT.AOORFI�IE LIMIT APPUES PER: GENERAL ADOREGATE $2,000.000 X "My PRO- ❑LOc IJECTw400ucrs-eoMProv AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $1 000 000 We 4"Idero X ANY AUTO BODILY INJURY(Per per e ) R ALL "TEODSULEO N N 9416614 03/13/2016 03/13/2D17 BODILY INJURY(Per e«I0en8 HIRED AUTOS NON-OWNEDTOS PROPERTY DAMADE ed UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR- CLNMS-MADE AGGREGATE DED I IRETENYION WORKERS COMPENSATION - X PER STATUTE ER AND EMPLOYERS'UAMLITY YIN ANY PROPRMTORIPARTHERAXECUTIVE E.L EACH ACCIDENT $500,000 L OFFICERIMEMBER EXCLVDEDi NIA N 9306944 12/29/2015 12/29/2016 (MenJerory M Inn E.L DISEASE-EA EMPLOYEE $500,000 II Tee,AeeaiM Imder DESCRIPTION OF OPERATIONS MroW E.L DISEASE-POLICY LIMIT $500,000 :SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AIRGI ACORD 101.A4210onel Remake SeMMe.it mac spaee le require* IIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. ERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS. OLDERS. AUTHORIZED REPRESENTATIVE O 19M2014 ACORD CORPORATION.All rights reserved. :ORD 26(20141107) The ACORD name and logo are registered marks of ACORD MMONWTirOFgM��S6[aTS s PLUM € S�ANDM. "G� �y IN- kETHE FdLLQ LIU EN J A3,DDDAA JR � w$RdOIfAMO1JWErH AF MS �i1SE7aTS m ISSCt HE3FOLIsdkYW ` CAN a� A NOWU WN � N J aDDkRJO 1R � PLUMB S ISSUES ' HE FOLI>04YI, loop �b AS�q pMBTHGdSky r' �7t ; J ADD RI�JR f u zzt3 Ce sr , 0 ix , / i/ /r { ♦. r a10 .10 • r $ .f <. r o ` DIVISION OF PROFESSIONAL LICENSURE o o k o - A � w1 � •�, r .T;I LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER C V Maria Ardagna from: Joe Addario Sent: Tuesday, April 19, 2016 9:23 AM To: Maria Ardagna Subject: FW: Bathroom vent From: Tsyporkin, Alexandra [mailto:Alexandra.Tsyporkin@MiddleOak.com] Sent: Wednesday, April 06, 2016 12:39 PM To: Joe Addario Subject: Bathroom vent Hi Joe, Please see below....I hope you will be able to provide the requested documentation Also,we will need put everything together on the new(additional) contract Let me know if there will be any complications...(I hope not) Thanks From: Jill Fama [mailto:jfama@crowninshield.com] Sent: Wednesday, April 06, 2016 12:31 PM To: Tsyporkin, Alexandra Cc: Thomas St. Pierre' Subject: 21 Bengal Lane Good Afternoon Alexandra, I wanted to let you know that the Board of Trustees has approved your request to vent your bathroom exhaust through the roof, providing your contractor can supply me with evidence of proof of insurance and license. If he has not already done so, he will need to pull a permit at the Salem Building Department. I have cc:Tom St. Pierre on this email so that he is also aware that this has been approved by the Board. Please let me know when this work is completed so that we can have the roof inspected as well. Thank you for your patience during this process. Jiff ama Regional Property Manager Crowninshield Management Corp. 18 Crowninshield St. Peabody, MA 01960 Tel: 978-532-4800 Fax: 978-532-6023 Email: ifama cDcrowninshield.com 1 .. ,4e's9A as NUYeHF,'/ 12,16 201,1. HR ONE.. n _ '7 P NOaE �` 1 oDgRRlOr ++ 12:PRESTOM SALEM,MA 01970 y �p - J�11 ��5.(b1118 M11 Rev07-iSM19 Jq ekSSAEHUSETTS DRIVERS LICENSE 2011:.MONE .S:1$L1QA33 g i 1 - � '3 NONE +ti J. 931 MAIN Si.' '- SOXFORD,MA 01921 ���5 OD Ot•]T]OfJ NVO>•,SMo9 MA Ill ll��ll�ll �l�i �lll�lllllhl�lhl _ 0.�ygP'wMd!lus NeJ68� IM'.tWO,J[bW ba. .. p{giPLJDIK' pgye - son vow f l 0. uza , s