Laserfiche WebLink
`i�y,,i0&/y.pfl <br /> �9 <br /> TOWN OF MASHPEE <br /> A❑LLCV" <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 /> 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 hereb clare(s) that We has (have) this day disconti ued (retired <br /> from) (withdrawn from) the business of _QL/s,uv.r,( <br /> N / 66 <br /> conducted at /-I. S - �� 9&0U — <br /> S Sr i✓4 <br /> SIGNATURE <br /> 2cJ QuJN�S Nqm e / eOCAc <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 /> • O° 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 /> Origform/Discontinuance <br />