Laserfiche WebLink
�lY,TOWry Off,- <br /> TOWN OF 14LA.SBPEE <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 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 from) (withdrawn from)the business of 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 <br /> on has been changed to <br /> Name of Business <br /> • I <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 �)ES (�U s u LZ �, Si<Yc ✓I �2 s D ox��� D 5'i,At2rnA <br /> to � ES ef---j S'E12✓! f'� ,w, 4 �. vrt� DE� �( — <br /> SIGNATURE <br /> Barnstable ss. Notary D <br /> ' Ytw�CI, E 51- `AIL Date <br /> Personally appeared before me the above named -C)D n^4 L Mc 0a L/` and made oath <br /> that the foregoing statements are true. <br /> • # Margaret C. Santos Name-N Pamin <br /> NOTARY PU13LIC D <br /> Commonwealth of Massachusetts Commission Expires <br /> Ny Commission Expires Sept.24,2010 <br /> OngfoncVDiscontinuance - <br />