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HomeMy WebLinkAbout1998-128 Name Registration - AFNFee $10.00 + 2.00 per county + 5.00 for copy (optional) Total 587.00 Registry Number: Corporation Division - Business Registry Public Service Building 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 (503) 986-2200 Facsimile (503) 378-4381 ASSUMED BUSINESS NAME REGISTRATION PLEASE TYPE OR PRINT LEGIBLY IN BLACK INK THIS SPACE FOR OFFICE USE ONLY FILED OREGON SECRETARY OF'$TAT~ 1. ASSUMED BUSINESS NAME: Ashland Fiber Network 2. Principal place of business: 90 North Mountain Avenue, Ashland, OR 97520 Street address City State Zip code 3. Authorized representative (ONE NAME ONLY): Pete Lovrovich Ashland, OR 97520 City State Zip code 90 North Mountain Avenue, Mailing Address SIC code: 4890 (see back of this form) Registrants (attach a separate sheet if necessary): City of Ashland, 20 ,East Main, Ashland, OR 97520 Name Street address City State Zip code City of Ashland ---Department of Electric Utilities, 90 North Mountain Ave., Ash'land, OR 97520 Name Street address City State Zip code Name 6. Counties: Street address City State Zip code ,~ All counties - statewide Baker Douglas Lake Sherman Benton Gilliam Lane Tillamook Clackamas Grant Lincoln Umatilla Clatsop Harney Linn Union Columbia Hood River Malheur Wallowa Coos Jackson Madon Wasco Crook Jefferson Morrow Washington Curry Josephine Multnomah Wheeler Deschutes Klamath Polk Yamhill 7. Signature of all registrants (attach a separate sheet if nec ;~~. o~,~~3'~~ 8. Person to contact about this registration: Hi ke Freeman Daytime phone number: (g41) 4gR-?] FI2 TO RECEIVE A COPY OF THE FILED REGISTRATION WITH REGISTRY NUMBER. PLEASE ENCLOSE AN ADDITIONAL $5.00. MAKE CHECKS PAYABLE TO THE CORPORATION DIVISION OR INCLUDE YOUR VISA OR MASTERCARD NUMBER AND EXPIRATION DATE / . SUBMIT THE COMPLETED FORM AND FEE TO /iHEABOVE ADDRESS OR FAX TO (503' 378'4381' ~¢/~,Z' ¢f~//-7/~//// ¢ ~'~::~ - [0.~ .~Jb 01 (11/93) ~ ~