TEAS Rev, App and/or COA of Atty/Dom.Rep

ALVERNO CLINICAL LABORATORIES, LLC

FRANCISCAN ALLIANCE, INC.

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative

PTO Form 2196 (Rev 9/2005)
OMB No. 0651-0056 (Exp 09/30/2011)

Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative


The table below presents the data as entered.

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
EMAIL 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
EMAIL 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)


Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative


To the Commissioner for Trademarks:
MARK: ALVERNO CLINICAL LABORATORIES, INC. (stylized and/or with design)
SERIAL NUMBER: 76124157
REGISTRATION NUMBER: 2501906
ATTORNEY DOCKET NUMBER ACLI-5

The original attorney
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

Original Correspondence Address :
Clifford W. Browning
Krieg DeVault LLP
One Indiana Square, Suite 2800
Indianapolis IN 46204-2079
317-636-1507
317-238-6203
cbrowning@kdlegal.com


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:

Newly Appointed Attorney:
Clifford W. Browning
Krieg DeVault LLP
One Indiana Square, Suite 2800
Indianapolis, Indiana 46204
United States
317-238-6203
317-636-1507

The following is to be used as the correspondence address:
Clifford W. Browning
Krieg DeVault LLP
One Indiana Square, Suite 2800
Indianapolis, Indiana 46204
United States

317-238-6203
317-636-1507
cbrowning@kdlegal.com



Signatory File Signature
Signatory's Name: Cheryl L.Vance
Signatory's Position: CEO/President

Serial Number: 76124157
Internet Transmission Date: Wed Mar 05 15:50:09 EST 2008
TEAS Stamp: USPTO/RAA-XXX.XXX.XX.XXX-200803051550093
20435-76124157-4002f5963d059fab44bf9b42f
f91f0108c-N/A-N/A-20080305152413873856


TEAS Rev, App and/or COA of Atty/Dom.Rep [image/jpeg]


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