Global Format; No Form Number (Rev 8/2009) |
OMB No. 0651-0055 (Exp. 07/31/2018) |
Input Field |
Entered |
---|---|
SERIAL NUMBER | 75980719 |
REGISTRATION NUMBER | 2691884 |
FORM TEXT | |
A specific statement, signed by the owner of the registration, indicating that the registration is being surrendered in its entirety is attached. Current information for the correspondent has also been updated separately through the TEAS Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative form. |
|
ATTACHMENT(S) | |
ORIGINAL PDF FILE | Voluntary Cancellation - Signed - DECATHLON (F0991652)_2012312111038539.PDF |
CONVERTED PDF FILE(S) (2 pages) |
\\TICRS\EXPORT11\IMAGEOUT11\759\807\75980719\xml1\S7S0002.jpg |
\\TICRS\EXPORT11\IMAGEOUT11\759\807\75980719\xml1\S7S0003.jpg | |
SIGNATURE SECTION | |
SUBMISSION SIGNATURE | /sud/ |
SIGNATORY'S NAME | Susan Upton Douglass |
SIGNATORY'S POSITION | Attorney of Record, New York State Bar Member |
DATE SIGNED | 04/12/2012 |
AUTHORIZED SIGNATORY | YES |
FILING INFORMATION SECTION | |
TEAS STAMP | USPTO/S7S-XX.XXX.XXX.X-20 120412120617224674-269188 4-20120412110859344526-N/ A-N/A-2012041211085934452 6 |
Global Format; No Form Number (Rev 8/2009) |
OMB No. 0651-0055 (Exp. 07/31/2018) |
A specific statement, signed by the owner of the registration, indicating that the registration is being surrendered in its entirety is attached. Current information for the correspondent has also been updated separately through the TEAS Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative form.
FORM FILE NAME(S)