PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 76435409 |
REGISTRATION NUMBER | 2721156 |
LAW OFFICE ASSIGNED | LAW OFFICE 114 |
ATTORNEY DOCKET NUMBER | W-PA1 |
MARK SECTION | |
MARK | PA-1 |
ATTORNEY SECTION | |
ORIGINAL ADDRESS | PHILIP K FITZSIMMONS 171 ST. JAMES DRIVE WEBSTER New York (NY) 14580 US 585-325-4618 585-486-1992 |
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 | Steven R. Scott |
FIRM NAME | Steven R. Scott, Esq. |
STREET | 949 County Road 217 |
CITY | Jacksonville |
STATE | Florida |
COUNTRY | United States |
POSTAL/ZIP CODE | 32234 |
PHONE | 9042899378 |
FAX | 9042899378 |
srscott@wildblue.net | |
ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
ATTORNEY DOCKET NUMBER | W-PA1 |
NEW CORRESPONDENCE ADDRESS | |
NAME | Steven R. Scott |
FIRM NAME | Steven R. Scott, Esq. |
STREET | 949 County Road 217 |
CITY | Jacksonville |
STATE | Florida |
COUNTRY | United States |
POSTAL/ZIP CODE | 32234 |
PHONE | 904-289-9378 |
FAX | 904-289-9378 |
srscott@wildblue.net | |
AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
SIGNATURE SECTION | |
SIGNATORY FILE | |
ORIGINAL PDF FILE | hw_751073297-143226558_._SignaturePage.pdf |
CONVERTED PDF FILE(S) (1 page) |
\\TICRS\EXPORT16\IMAGEOUT16\764\354\76435409\xml1\RAA0002.JPG |
SIGNATORY NAME | Al Keltz |
SIGNATORY POSITION | General Manager |
SIGNATORY PHONE NUMBER | 585-663-8820 X140 |
FILING INFORMATION SECTION | |
SUBMIT DATE | Fri Mar 29 14:43:16 EDT 2013 |
TEAS STAMP | USPTO/RAA-XX.XXX.XX.XX-20 130329144316874141-852332 70-500b6c1c4a54abaf9e0f3f 6ff5d5160737f724f32355798 e333f9962bcf3c991f42-N/A- N/A-20130329143226558122 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 9/30/2017) |