Laserfiche WebLink
.0 <br /> TOWN <br /> Oe. <br /> W <br /> TOWN OF MASHPEE <br /> co• 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 /> 07,9 ozoe <br /> DATE <br /> The Town is desirous of going"Green" as much as possible.To that end,please include your email address. <br /> Email Address: L- 00 • e.a - <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 dplgre(s) that Me has (have) this day discontinued (retired <br /> from) (withdrawn from)the business of _a�`J�9 L `r— Mk- <br /> conducted at f r <br /> STREET p <br /> LLc.( - <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 /> 1 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 /> Bamstable ss. <br /> Date <br /> Personally appeared before me the above named and made oath <br /> that the forego'\ -tgtements are true. <br /> + Name-Notary Public <br /> Commission Expires <br /> Origform/Discontinuanec <br />