J. Kenneth Blackwell
Secretary of State
8.
Other ( Optional )
( If insufficient space for this item, please attach a separate sheet(s):this portion of the certificate may not exceed three (3)
additional pages , ORC 1782.10(B)(6))
IN WITNESS WHEREOF, the undersigned have executed this Certificate of Cancellation on
(date)
Signed
Signed
Name:
Name:
Signed
Signed
Name:
Name:
Signed
Signed
Name:
Name:
133-LPC
Page 2 of 2
Version: May 1, 1999