Laserfiche WebLink
rK <br /> �v <br /> jq/ r 'I.OW\ OF)\1ASHP) L. <br /> Stntetneut of Discontinuance. Change oi'Residence. Change of Locunou of Business, <br /> d from Business or Partner ship, Change of Business Name or Ownel Name <br /> h'aw al, or Decease <br /> 4 <br /> DAT[ <br /> include your email address. <br /> The Town is desirous of going "Green'" as much as possible.To that end, please <br /> Email Address: - <br /> Discontinuance <br /> dred and tensection five, of the General <br /> In conformity with the provisions of Chapter one hun , <br /> has (have) this day discontinued (retired <br /> Laws, as amended, the undersigned hereby declare(s) that Uwe <br /> from) (withdrawn from) the business Of <br /> ` conducted at STREET <br /> SIGNATURE <br /> Change of Location of Business <br /> I hereby state that Che location of the business/my residence as it appears on the Business Certificate filled <br /> has been changed to <br /> on <br /> • \zme of Business <br /> SIGNATURE <br /> Change of\ame of Business or Owner <br /> I hereby state that the nan�the business or the owner as it appears on the Business Certificate has <br /> Cj <br /> been changed from <br /> to <br /> TUROJ V J4 <br /> y_.! ti; " ✓ �1 Notary <br /> lBarnstable ss _. Dam <br /> and made oath. <br /> Personally appeared before me the above named <br /> that the foEll <br /> ments are true. _ b F <br /> c(.i <br /> Notary Public _ " <br /> argaret C. Santo` \acne,\otanPubli�40 m�nweallh of Massachusettsmission Expires to Sept,22.2017 Comtniss,onE pirc <br /> - pii�llrtm;pisconiinuance <br />