PTO Form 1966 (Rev 9/2002) |
OMB Control #0651-0050 (Exp. 04/30/2006) |
Input Field |
Entered |
SERIAL NUMBER | 76540092 |
MARK SECTION (no change) | |
OWNER SECTION (current) | |
NAME | Clark, Richard |
STREET | 311 Baltic Street No. 4C |
CITY | Brooklyn |
STATE | NY |
ZIP/POSTAL CODE | 11201 |
COUNTRY | US |
PHONE | 718-522-1946 |
OWNER SECTION (proposed) | |
NAME | Clark, Richard |
STREET | 645 South Mountain Rd |
CITY | Gardiner |
STATE | New York |
ZIP/POSTAL CODE | 12525 |
COUNTRY | United States |
PHONE | 718-522-1946 |
LEGAL ENTITY SECTION (current) | |
TYPE | INDIVIDUAL |
COUNTRY OF CITIZENSHIP | US |
LEGAL ENTITY SECTION (proposed) | |
TYPE | INDIVIDUAL |
COUNTRY OF CITIZENSHIP | United States |
SIGNATURE SECTION | |
SIGNATURE | /rmorris/ |
SIGNATORY NAME | RICHARD L MORRIS JR ESQ |
SIGNATORY POSITION | ATTORNEY OF RECORD |
SIGNATORY DATE | 08/24/2004 |
FILING INFORMATION SECTION | |
SUBMIT DATE | Tue Aug 24 16:46:14 EDT 2004 |
TEAS STAMP | USPTO/OA-XXXXXXXXXX-20040 824164614010154-76540092- 200aac1eab1b157fb9bb871f7 a9b15292b1-N-N-2004082416 4608351798 |
PTO Form 1966 (Rev 9/2002) |
OMB Control #0651-0050 (Exp. 04/30/2006) |
Application serial no. 76540092 is amended as follows: | |
Procedural Matters/Informalities | |
Applicant proposes to amend the following: | |
Original: Richard Clark, , a citizen of US, having an address of 311 Baltic Street No. 4C Brooklyn, NY US 11201, whose phone number is 718-522-1946. | |
Proposed: Clark, Richard, a citizen of United States, having an address of 645 South Mountain Rd Gardiner, New York United States 12525, whose phone number is 718-522-1946. | |
Response Signature | |
Signature: /rmorris/ Date: 08/24/2004 | |
Signatory's Name: RICHARD L MORRIS JR ESQ | |
Signatory's Position: ATTORNEY OF RECORD | |
Serial Number: 76540092 | |
Internet Transmission Date: Tue Aug 24 16:46:14 EDT 2004 | |
TEAS Stamp: USPTO/OA-XXXXXXXXXX-20040824164614010154 -76540092-200aac1eab1b157fb9bb871f7a9b15 292b1-N-N-20040824164608351798 |