PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 76124157 |
REGISTRATION NUMBER | 2501906 |
LAW OFFICE ASSIGNED | LAW OFFICE 106 |
ATTORNEY DOCKET NUMBER | ACLI-5 |
MARK SECTION | |
MARK | ALVERNO CLINICAL LABORATORIES, INC. (stylized and/or with design) |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | Clifford W. Browning Krieg DeVault LLP 5649/32865 One Indiana Square, Suite 2800 Indianapolis IN 46204-2079 317-636-1507 317-238-6203 cbrowning@kdlegal.com |
CORRESPONDENCE SECTION | |
ORIGINAL ADDRESS | Clifford W. Browning Krieg DeVault LLP 5649/32865 One Indiana Square, Suite 2800 Indianapolis IN 46204-2079 317-636-1507 317-238-6203 cbrowning@kdlegal.com |
NEW ATTORNEY ADDRESS | |
STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above, and hereby APPOINTS the following new attorney: |
NAME | Clifford W. Browning |
FIRM NAME | Krieg DeVault LLP |
STREET | One Indiana Square, Suite 2800 |
CITY | Indianapolis |
STATE | Indiana |
COUNTRY | United States |
POSTAL/ZIP CODE | 46204 |
PHONE | 317-238-6203 |
FAX | 317-636-1507 |
cbrowning@kdlegal.com | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
ATTORNEY DOCKET NUMBER | ACLI-5 |
NEW CORRESPONDENCE ADDRESS | |
NAME | Clifford W. Browning |
FIRM NAME | Krieg DeVault LLP |
STREET | One Indiana Square, Suite 2800 |
CITY | Indianapolis |
STATE | Indiana |
COUNTRY | United States |
POSTAL/ZIP CODE | 46204 |
PHONE | 317-238-6203 |
FAX | 317-636-1507 |
cbrowning@kdlegal.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATORY FILE | \\TICRS2\EXPORT15\761\241\76124157\xml1\RAA0002.JPG |
SIGNATORY NAME | Cheryl L.Vance |
SIGNATORY POSITION | CEO/President |
FILING INFORMATION SECTION | |
SUBMIT DATE | Wed Mar 05 15:50:09 EST 2008 |
TEAS STAMP | USPTO/RAA-XXX.XXX.XX.XXX- 20080305155009320435-7612 4157-4002f5963d059fab44bf 9b42ff91f0108c-N/A-N/A-20 080305152413873856 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |