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2016-701 Emergency Svc - South Orange Rescue Squad - Application for Ambulance Franchise
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2016-701 Emergency Svc - South Orange Rescue Squad - Application for Ambulance Franchise
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Last modified
9/10/2019 9:32:04 AM
Creation date
12/16/2016 9:31:44 AM
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BOCC
Date
12/13/2016
Meeting Type
Regular Meeting
Document Type
Others
Agenda Item
6h
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0100111. 11/L4/07' <br /> Date Filed: 4/8/2005 2:29:00 PM <br /> • <br /> Elaine F. Marshall <br /> North Carolina Secretary of State <br /> State of North Carolina C200502700274 <br /> Department of the Secretary of State <br /> NONPROFIT CORPORATION'S STATEMENT OF CHANGE OF PRINCIPAL OFFICE <br /> Pursuant to§55A-16-23(b)of the General Statutes of North Carolina,the undersigned nonprofit corporation does hereby submit the <br /> following for the purpose of changing its principal office address currently on file with the Secretary of State. <br /> INFORMATION CURRENTLY ON FILE <br /> The name of the corporation is: o_ <br /> The street address and county of the principal office of the corporation currently on file is: <br /> Number and Street: i43 LA)€--r , Si... Z�2 <br /> City,State,Zip Code: C 4A.-e i_ 14,11 ,me 275« County: a tz.,a,a-.-� <br /> The mailing address if different from the street address of the principal office currently on file is: <br /> �. <br /> C, Sc.x \ a a Av..2 r.;r w. Nc- 27 S �c� <br /> NEW INFORMATION <br /> 1. The street address and county of the new principal office of the corporation is: <br /> Number and Street: 24-.2_ o?> s�T► S��&s'+'� <br /> City,State,Zip Code: C.of 2-2. NL Z-i s t o County: eel,,, <br /> 2. The mailing address If different from the street address of the new principal office is: <br /> —P•0 t 24 S.v <br /> 3. This statement will be effective upon filing,unless a later date and/or time is specified: <br /> This is the z■ day of VvV e.c4! ,20c3S. . <br /> !x..rt 4 Oe Ancc S'q,-A0 <br /> Name of Corporation <br /> Signature <br /> P9-7 c3'00Aimi.tt. EctLETt4FCi <br /> Type or Print Name and Title r <br /> NOTES: <br /> 1. Filing fee is$5. This statement and one exact or conformed copy of it must be filed with the Secretary of State. <br /> Revised January 2000 Form N-12 <br /> CORPORATIONS DIVISION P.O.BOX 29622 RALEIGH,NC 27626- <br /> 0622 <br />
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