| 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 |
76325716 |
| REGISTRATION NUMBER |
2601002 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 107 |
| MARK SECTION |
| MARK |
EROWID |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
SUSAN L. SMITH
ORRICK, HERRINGTON & SUTCLIFFE LLP
910365-2
1000 MARSH RD
MENLO PARK CA 94025
(650) 614-7400
(650) 614-7401
|
| STATEMENT TEXT |
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
| NEW CORRESPONDENCE ADDRESS |
| NAME |
Christina Blomquist |
| STREET |
PO Box 1116 |
| CITY |
Grass Valley |
| STATE |
California |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
95945 |
| EMAIL |
admin-trademark@erowid.org |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| SIGNATURE SECTION |
| SIGNATURE |
/C. Blomquist/ |
| SIGNATORY NAME |
Christina Blomquist |
| SIGNATORY DATE |
09/11/2011 |
| SIGNATORY POSITION |
Owner |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Sun Sep 11 19:06:52 EDT 2011 |
| TEAS STAMP |
USPTO/RAA-XX.XXX.XXX.XX-2
0110911190652772676-76325
716-4806a61b32bbc52499e8f
9dcca775c0d03b-N/A-N/A-20
110911184806664057 |
| 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: EROWID
SERIAL NUMBER: 76325716
REGISTRATION NUMBER: 2601002
The original attorney
SUSAN L. SMITH
ORRICK, HERRINGTON & SUTCLIFFE LLP
910365-2
1000 MARSH RD
MENLO PARK CA 94025
(650) 614-7400
(650) 614-7401
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above.
Original Correspondence Address :
SUSAN L. SMITH
ORRICK, HERRINGTON & SUTCLIFFE LLP
1000 MARSH RD
MENLO PARK CA 94025
(650) 614-7400
(650) 614-7401
The following is to be used as the correspondence address:
Christina Blomquist
PO Box 1116
Grass Valley, California 95945
United States
admin-trademark@erowid.org
Signature: /C. Blomquist/ Date: 09/11/2011
Signatory's Name: Christina Blomquist
Signatory's Position: Owner
Serial Number: 76325716
Internet Transmission Date: Sun Sep 11 19:06:52 EDT 2011
TEAS Stamp: USPTO/RAA-XX.XXX.XXX.XX-2011091119065277
2676-76325716-4806a61b32bbc52499e8f9dcca
775c0d03b-N/A-N/A-20110911184806664057