| PTO Form 2201 (Rev 5/2006) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field |
Entered |
|---|---|
| SERIAL NUMBER | 76450196 |
| MARK SECTION | |
| MARK | MIAS |
| WITHDRAWAL OF ATTORNEY SECTION | |
| REASON TEXT | Client wishes to represent himself |
| WITHDRAWAL STATEMENT | I have given due notice to the applicant/registrant of withdrawal from employment and the filing of this request for withdrawal with the USPTO. |
| WITHDRAWAL STATEMENT | I have delivered to the applicant/registrant all papers and property in any file concerning the prosecution of the mark. |
| WITHDRAWAL STATEMENT | I have notified the applicant/registrant of any responses that may be due and the timeframe within which the applicant/registrant must file the response. |
| WITHDRAWAL STATEMENT | I have given the applicant/registrant notice of withdrawal from employment at least two (2) months prior to the expiration of the response period. |
| CORRESPONDENCE SECTION | |
| ORIGINAL CORRESPONDENCE ADDRESS | Daniel L. Boots 10 West Market Street 2700 Market Tower Indianapolis IN 46204 |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | Kunz, Peter F. |
| STREET | 3940 West 96th Street Suite C |
| CITY | Indianapolis |
| STATE | Indiana |
| POSTAL/ZIP CODE | 46268 |
| COUNTRY | United States |
| PHONE | (317) 688-5900 |
| SIGNATURE SECTION | |
| SIGNATURE | /Daniel L. Boots/ |
| SIGNATORY NAME | Daniel L. Boots |
| SIGNATORY DATE | 12/18/2009 |
| SIGNATORY POSITION | Attorney of Record |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Dec 18 13:58:16 EST 2009 |
| TEAS STAMP | USPTO/WOA-XXX.XX.XXX.XXX- 20091218135816067387-7645 0196-4601bf6e9a41e32ca6cd 186c66cb408e57-N/A-N/A-20 091218134446930268 |