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• �t\V,.a,Oq.ry.op, <br /> V y,Y-, `•, -L <br /> TOWN OF MASHPEE <br /> ryTiia Gu" <br /> Statement of Discontinuance,Change of Residence, Change of Location of Business, <br /> Withdrawal, or Deceased from Business or Partnership,Change of Business Name or Owner Name <br /> ,2 *'-- c2Od-R4 <br /> DATE" <br /> Discontinuance <br /> In conformity with the provisions of Chapter one hundred and ten, section five, of the General <br /> Laws, as amended, the undersigned hereby declare(s) that I/We has (have) this day discontinued (retired <br /> from) (withdrawn from)the business of <br /> conducted at <br /> STREET <br /> SIGNATURE <br /> Change of Location of Business <br /> I hereby. state that the location of the business/my residence as it appears on the Business Certificate filed on 7tQG�i10 S PO V/;, /)�S- (!;..P has been changed to <br /> u _ Name of Busine1s;L <br /> Il/e 1�T \"fin�jatrs <br /> SIGNATURE <br /> Chan of Name a usiness or Owner <br /> I hereby state that the name of the business or the owner as it appears on the Business Certificate has <br /> been changed from A L V1/1 a # PMS h c1Y�e_ Fyu <br /> to S — mfil2 S <br /> SIGNATURE <br /> Notary <br /> Barnstable ss. <br /> Date <br /> • Personally appeared before me the above named and made oath <br /> that the foregoing statements are true. <br /> Namc-Notary Public <br /> Commission Expires <br /> Origform/Discontinuance <br />