| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
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 |
76352417 |
| REGISTRATION NUMBER |
3462755 |
| LAW OFFICE ASSIGNED |
LAW OFFICE 101 |
| MARK SECTION |
| MARK |
MEDICHOICE |
| ATTORNEY SECTION |
| ORIGINAL ADDRESS |
A YATES DOWELL, III
2111 EISENHOWER AVE STE 406
ALEXANDRIA Virginia (VA) 22314-4679
US
(703) 415-2555
(703) 415-2559
dowell@dowellpc.com
|
| STATEMENT TEXT |
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above. |
| NEW CORRESPONDENCE ADDRESS |
| NAME |
Sherry A. Banner - Legal Department |
| FIRM NAME |
Owens & Minor, Inc. |
| STREET |
9120 Lockwood Boulevard |
| CITY |
Mechanicsville |
| STATE |
Virginia |
| COUNTRY |
United States |
| POSTAL/ZIP CODE |
23116 |
| PHONE |
(804) 723-7000 |
| FAX |
(804) 723-7113 |
| EMAIL |
sherry.banner@owens-minor.com;connelia.savage@owens-minor.com |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL |
YES |
| SIGNATURE SECTION |
| SIGNATURE |
/Grace R. den Hartog/ |
| SIGNATORY NAME |
Grace R. den Hartog |
| SIGNATORY DATE |
04/01/2014 |
| SIGNATORY POSITION |
Senior VP, General Counsel, Corporate Secretary |
| SIGNATORY PHONE NUMBER |
(804) 723-7945 |
| FILING INFORMATION SECTION |
| SUBMIT DATE |
Tue Apr 01 11:23:27 EDT 2014 |
| TEAS STAMP |
USPTO/RAA-XXX.XXX.XXX.XXX
-20140401112327424354-763
52417-500de52e46ab51982fe
3acff746937196984c454bb44
1b72a7e56b593730bc4819-N/
A-N/A-2014040111075691563
6 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 9/30/2017) |
Revocation of Attorney/Domestic Representative and/or Appointment of Attorney/Domestic Representative
To the Commissioner for Trademarks:
MARK: MEDICHOICE
SERIAL NUMBER: 76352417
REGISTRATION NUMBER: 3462755
The original attorney
A YATES DOWELL, III
2111 EISENHOWER AVE STE 406
ALEXANDRIA Virginia 22314-4679
US
(703) 415-2555
(703) 415-2559
dowell@dowellpc.com
By submission of this request, the undersigned REVOKES the power of attorney currently of record, as listed above.
Original Correspondence Address :
A YATES DOWELL, III
DOWELL & DOWELL PC
2111 EISENHOWER AVE STE 406
ALEXANDRIA Virginia 22314-4679
US
(703) 415-2555
(703) 415-2559
dowell@dowellpc.com
The following is to be used as the correspondence address:
Sherry A. Banner - Legal Department
Owens & Minor, Inc.
9120 Lockwood Boulevard
Mechanicsville, Virginia 23116
United States
(804) 723-7000
(804) 723-7113
sherry.banner@owens-minor.com;connelia.savage@owens-minor.com
Signature: /Grace R. den Hartog/ Date: 04/01/2014
Signatory's Name: Grace R. den Hartog
Signatory's Position: Senior VP, General Counsel, Corporate Secretary
Signatory's Phone Number: (804) 723-7945
Serial Number: 76352417
Internet Transmission Date: Tue Apr 01 11:23:27 EDT 2014
TEAS Stamp: USPTO/RAA-XXX.XXX.XXX.XXX-20140401112327
424354-76352417-500de52e46ab51982fe3acff
746937196984c454bb441b72a7e56b593730bc48
19-N/A-N/A-20140401110756915636