| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76305532 |
| REGISTRATION NUMBER | 2617875 |
| LAW OFFICE ASSIGNED | LAW OFFICE 107 |
| MARK SECTION | |
| MARK | CAMBRIAN (stylized and/or with design) |
| OWNER SECTION (current) | |
| NAME | Harwood, George |
| STREET | 511 5th Street - Unit #B |
| CITY | San Fernando |
| STATE | California |
| ZIP/POSTAL CODE | 91340-2220 |
| COUNTRY | United States |
| PHONE | (818) 837-9495 x 202 |
| FAX | (818) 837-9526 |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | GEORGE HARWOOD 511 5TH ST UNIT B SAN FERNANDO California 91340-2220 United States (818) 837-9526 (818) 837-9495 x 202 harwoodg@pacbell.net |
| NEW OWNER ADDRESS | |
| STREET | 4256 Lankershim Blvd. |
| CITY | North Hollywood |
| STATE | California |
| ZIP/POSTAL CODE | 91602 |
| COUNTRY | United States |
| PHONE | (818) 640-7652 |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | GEORGE HARWOOD |
| FIRM NAME | George Harwood |
| STREET | 4256 Lankershim Blvd. |
| CITY | North Hollywood |
| STATE | California |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 91602 |
| PHONE | (818) 640-7952 |
| SIGNATURE SECTION | |
| SIGNATURE | /George Harwood/ |
| SIGNATORY NAME | George Harwood |
| SIGNATORY DATE | 01/03/2008 |
| SIGNATORY POSITION | Owner |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Thu Jan 03 20:54:00 EST 2008 |
| TEAS STAMP | USPTO/COA-XX.XXX.XXX.XXX- 20080103205400711070-7842 4240-4007fc9a549b5466d7a5 154518018fe60a1-N/A-N/A-2 0080103204903180122 |