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tst'roe-rv.. r <br /> tk <br /> �q TOWN OF MASHPEE <br /> hsiau�e.�O <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 /> 7jaojzo0q <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 from)(withdrawn from)the business of 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 /> P?/cc 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 /> n/R 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 Rot fl-er Cry f,� ( d 6a,) <br /> to RO-P -CrCrc.,4 LLC - <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/Discontinumce <br />