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TOWN OF YARMOUTH
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMIT NUMBER: #14-099 FEE: $85.00
In accordance with regulations promulgated under authority of Chapter 94, Section 305A and
Chapter I I I, Section 5 of the General Laws, a permit is hereby ganted to:
Alan M. Davis, 5 Theatre Colony Road, South Yarmouth, MA
Whose place of business is: Cape Cod Creamery
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31, 2014 BOARD OF HEALTH: J 17ai�teauPt, efia"vunan
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*RESTRICTION: Four(4)seats. � 'YQnYt
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December 18.2013 �l��J �:y �
Bruce G. Murphy, MPI�, R .; CHO
D'uector of Health ;/'
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMIT NUMBER: #14-072 FEE: 60.00
This is to Certify that Alan M Davis d/b/a Cape Cod Creamerv
5 Theatre Colonv Lane South Yazmouth, MA
IS HEREBY GRANTED A
COMMON VICTUALLER'S LICENSE
In said Town of Yarmouth and at that place only and expires December thirty-fust 2014 unless
sooner suspended or revoked for violation of the laws of the Commonwealth respecting the
licensing of common victuallers. This license is issued in conformity with the authority granted
to the licensing authorities by General Laws, Chapter 140, and amendments thereto.
In Testimony Whereof, the undersigned have hereunto affixed their official signatures.
BOARD OF HEALTH: Janya 1`�ai�neaucP.E CRab�neaa
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*RESTRICTION: Four(4)seats. .n'� �
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December 18,2013
Bruce G. Murphy, , .5., CHO
D'uector of Health
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMITNUMBER: #14-005 FEE: $40.00
� This is to Certify that Alan M.Davie d/b/a C'�e('nd('reamerv �
5 Theatre Colonv Road, South Yarmouth MA
IS HEREBY GRANTED A LICENSE
FOR THE MANUFACTURING OF FROZEN DESSERTS
AND/OR ICE CREAM MIX
For the yeaz commencing with Mazch first 2014
This License is subject to the Rules and Regulations of the Massachusetts Department of Public Health
Relative to the Manufacturing ofFROZEN DESSERTS and ICE CREAM MIX,to theRules and Regulations
ofthe Boazd ofHealth granting this License,and to the provision ofthe General Laws Chapter 94 as amended
by Chapter 373 ofthe Acts of 1934, and may be revoked or suspended in accordance with the provisions of
Section 65J said Chapter.
BOARD OF HEALTH: J cuu�a.l�ai�neauet e�iaixm[ttt
*Regulation 105 CMR 561.009 requires ,`�[eQlv[((✓3p�Pt¢[�� �17,� �lC¢
monthly plate count and coliform tests. ,/Y{qy�� �
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December 18.2013 Bruce G. Murphy,MP , .5., CHO
Director of Health