PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 76184654 |
LAW OFFICE ASSIGNED | LAW OFFICE 108 |
MARK SECTION | |
MARK | PATAGONIA |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | PATAGONIA INC 259 W SANTA CLARA ST VENTURA CA 93001-2545 |
STATEMENT TEXT | By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
NEW CORRESPONDENCE ADDRESS | |
NAME | Patagonia, Inc. |
FIRM NAME | Attn: Legal Dept. |
STREET | 259 W. Santa Clara St. |
CITY | Ventura |
STATE | California |
COUNTRY | United States |
POSTAL/ZIP CODE | 93001 |
PHONE | (805) 667-4778 |
FAX | (805) 648-8006 |
gwen_desantis@patagonia.com | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATURE | /mona r. patel/ |
SIGNATORY NAME | Mona R. Patel |
SIGNATORY DATE | 01/04/2005 |
SIGNATORY POSITION | Vice President |
FILING INFORMATION SECTION | |
SUBMIT DATE | Tue Jan 04 14:18:57 EST 2005 |
TEAS STAMP | USPTO/RAA-XXX.XXX.XX.XX-2 0050104141857979238-76184 654-250e1875b443ea9509f1e 6c3adda72d5bda-N/A-N/A-20 050104141610789910 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |