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BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
PERMITNUMBER: #13-097 FEE: 85.00
In accordance with regularions promulgated under authority of Chapter 94,Section 305A and
Chapter 111, Section 5 of the General Laws,a permit is hereby granted to:
Alan M. Dauis, 5 Theatre Colony Road, South Yazmouth, MA
Whose place of business is: Cape Cod Creamerv LLC
Type of business: Food Service
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31, 2013 BOARD OF HEALTH: J 17ai�teattet, C�Praux�ttaut
.�1���J�. obk�.l�.17., �lC¢
*RESTRICTION: Four(4)seats. �
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December 17.2012
Bruce G. Murphy, , .5.,CHO
Director of Health
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMIT NLJMBER: #13-064 FEE: 60.00
This is to Certify that Alan M. Davis d/b/a Cape Cod Creamerv LLC
5 Theatre Colonv Lane, South Yannouth, MA
IS HEREBY GRANTED A
COMMON VICTUALLER'S LICENSE
In said Town of Yannouth and at that place only and expires December thirty-first 2013 unless
sooner suspended or revoked for violauon 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 �xed their official signatures.
BOARD OF HEALTH: J cuu�a.l`�aigneau�l ef�abun.an
.lEiP.�axd `.i(3aaPce�.`1�., 4lice
'RESTRICTION: Four(4)seats. .fl�''t,'aD�,u�,,, �
`"'�"'�•
C'.Pta�eo J. .�oP�cuuy
December 17.2012
Bruce G. Murphy, MPH, R ., CHO
Director of Health
THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
PERMIT NUMBER:H 13-007 FEE: 40.00
This is to Certify that Alan M navic d/h/a('ane('o�am�P� i �('
5 Theatre Colon 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 2013
This License is subject to the Rules and Regulations of the Massachusetts Depar[ment of Public Health
Relative to the Manufacturing of FROZEN DESSERTS and ICE CREAM MIX,to the Rules a�d Regulations
ofthe Boazd ofHealth granring this License,and to the provision ofthe General Laws Chapter 94 as amended
by Chapter 373 of the Acts of 1934, and may be revoked or suspended in accordance with the provisions of
Section 65J said Chapter.
BOARD OF HEALTH: J tuufa 17ui��i¢qu�t e�m�, �
*Regulation ]OS CMR 561.009 requires ��d����� v�
monthly plate count and coliform tesu.
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e�tcrx�eo J. '
.`�f.a�lnat�
December 17 2012 B ce . Murphy, MPH, R. . H I
Director of Health