FILED

Siskiyou County

April 17, 2017

COLLEEN SETZER, CLERK

BY: A. Stumbaugh, Deputy Clerk

FILING FEE - $14.50

STATEMENT OF ABANDONMENT OF USE OF FICTITIOUS BUSINESS NAME

The following person(s) listed below have abandoned the use of the following fictitious business name(s):

Black Bear Ranch, 3625 E. Hwy. 3, Montague, CA 96064; Siskiyou County

The fictitious business name was filed in Siskiyou County on:

2-11-13

File No. 2013-47-045

Registered Owner(s):

Robert Paul Manley, 3625 E. Hwy. 3, Montague, CA 96064

Laurie Ann Manley, 3625 E. Hwy. 3, Montague, CA 96064

This business was conducted by: a Husband and Wife

I declare that all information in this statement is true and correct.

(A registrant who declares as true information which he or she knows to be false is guilty of a crime).

/s/: Laurie Ann Manley

Print: Laurie Ann Manley

This statement was filed with the County Clerk of Siskiyou County on date indicated by file stamp above.

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