HomeMy WebLinkAboutMass DOR Retailer License for Sale of Cigarettes . �• Commonwealth of Massachusetts Letter ID:L0035401216 �
�' � DepaRment of Revenue Notice Date:May 8,2017 �'
� 4��,� Michael J.Heffernan,Commissioner Account ID:CGL-10527826-005
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� mass.gov/dor
RETAILER LICENSE FOR SALE OF CIGARETTES
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DG RETAIL LLC I
DOLLAR GENERAL STORE# 13774
100 MISSION RDG
GOODLETTSVILLE TN 37072-2171
Attached below is your Retailer License for Sale of Cigarettes(Form CT-3T). Cut along the dotted line
and display at your business location.At any time,you can log into your MassTaxConnect account at
mass.gov/masstaxconnect to view and re-print a copy of this license. :
If you have any questions about your license, call us at(617) 887-6367 or toll-free in Massachusetts at
(800)392-6089,Monday through Friday, 8:30 a.m. to 4:30 p.m.
DETACH HERE :
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�`����'�� MASSACHUSETTS DEPARTMENT OF REVENUE Form CT-3T
� � �' Retailer License for Sale of Cigarettes '
� �
��,.�.a�� This license must be posted and visible at all times. The sale of tobacco
products to anyone under 18 years of age is prohibited.
DG RETAIL LLC Account ID: CGL-10527826-005
DOLLAR GENERAL STORE 17767 Location ID: 10527826-0067
447 ROUTE 28 License Number: 1359343616
WEST YARMOUTH MA 02673-4844 �
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts General Laws to '
sell at retail at the address shown above. This license is non-transferable and may be suspended or revoked for
failure to comply with state laws and regulations.
Effective Date: May 8,2017 Expiration Date: September 30,2018 f