FILED

Siskiyou County

September 5, 2017

COLLEEN SETZER, CLERK

BY: S. Miller, 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):

Travel Inn, 504 S. Mt. Shasta Blvd., Mt. Shasta, CA 96067; Siskiyou County

The fictitious business name was filed in Siskiyou County on:

October 3, 2013

File No. 0000297-01

Registered Owner(s):

Chhagan Patel, 504 S. Mt. Shasta Blvd., Mt. Shasta, CA 96067

Hariganga Patel, 504 S. Mt. Shasta Blvd., Mt. Shasta, CA 96067

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/: Chhagan Patel

Print:

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

7903 msan se13,20,27,oc4p