January 22, 2018
COLLEEN SETZER, CLERK
BY: S. Gray, 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):
Silk Road Chai Shop, 105 E. Alma St., Mt. Shasta, CA 96067; Siskiyou County
The fictitious business name was filed in Siskiyou County on:
Jan. 25, 2013
File No. 470000027
Lewis Elbinger, 185 Shasta Ave., Mt. Shasta, CA 96067
This business was conducted by: an Individual
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/: Lewis Elbinger
Print: Lewis Elbinger
This statement was filed with the County Clerk of Siskiyou County on date indicated by file stamp above.
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