Laserfiche WebLink
30 �� c� CITY OF STOCKTON Stockton <br /> P 0 BOX 1570 al .i� <br /> Business License Number STOCKTON, CA 95201-1570 1 I 110_I <br /> 772 2004 <br /> Control Number 1999 <br /> CITY OF <br /> STOCKTON <br /> Declaration of Closure of Business In The City of Stockton <br /> - �:) 6\1 wC2 \`-v- hereby declare as follows: <br /> Print Full Name <br /> I was owner of the business opera under the name of: <br /> r <br /> Print Name of Business <br /> L \, QA <br /> Located at: <br /> Print Business Addre s, City, StatQ,-Vid Zip Code <br /> The purpose of the business was: <br /> This business enterprise is no longer operating in the City of Stockton, and has not since, <br /> ® <br /> Month / Day I Year perations Ceased <br /> \Ntan1q, <br /> secuted if <br /> I make these declarations under penalty of� ndemay be pro <br /> these declarations are found to be untrue. <br /> Date Signed <br /> Owner or Authorize�Agent Signature <br /> Print Your Address, City, State, and Zip Code <br /> Print Your Mailing Address, City, State, and Zip Code, If Different Than Above <br /> Area Code Phone Number <br /> BELOW THIS LINE FOR CITY USE ONLY <br /> Date eceived Signature of Staff Person Inactivating Business License <br /> Date <br /> Revised 4//114//006, Q <br />