Laserfiche WebLink
TOWN OF MASHPEE <br /> "nOi:c•"�� 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 /> �I )af t! <br /> DAT <br /> The Town is desirous of going"Green" as much as possible. To that end,please include your email address. <br /> Email Address: <br /> CGru, MI NGm��,�pvn <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 d�clare(s)tha I/We has (have) this day discontinued (retired <br /> from)(withdrawn <br /> nffrom)the business of 1 Nv�kU n1yylq�L (1£� CAn`11 <br /> conducted at ��� �Qf� <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 /> 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 /> Barest ble ss. <br /> Date <br /> Personally appeared before me the above named and made oath <br /> o that the foregoing statements are true. <br /> Name-Notary Public <br /> Commission Expires <br /> Origform/Discontinuance <br />