FILED

Siskiyou County

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

Registered Owner(s):

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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