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Iry TOWN OF MASHPEE <br /> �y 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 /> DATE <br /> The Town is desirous of going "Greed' as much as possible. To that end, please include your email address. <br /> Email Address: bn-c. .c..I <br /> Discontinuance <br /> Inc 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 llWe has (have) this day discontinued (retired <br /> from) (withdrawn from) the business of /G cT/►L /ten t,w/ S SeSZi--e <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 <br /> 4Pon has been changed to <br /> Name of Business <br /> SIGNATURE <br /> Change of Name of Business 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 <br /> to <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 /> Name-Notary Public <br /> Commission Expires <br /> Origfunn/Discmn inuance <br />