| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 76543314 |
| REGISTRATION NUMBER | 2888650 |
| LAW OFFICE ASSIGNED | LAW OFFICE 116 |
| MARK SECTION | |
| MARK | UC4 |
| ATTORNEY SECTION | |
| ORIGINAL ADDRESS | HEIKO P. MEYENSCHEIN ROSENSTEEL & BECKMANN LLC 13247 90 PARK AVENUE NEW YORK, NEW YORK, 10016 (212) 986-4939 (212) 808-4080 hmeyenschein@rosebeck.com |
| CORRESPONDENCE SECTION | |
| ORIGINAL ADDRESS | HEIKO P. MEYENSCHEIN ROSENSTEEL & BECKMANN LLC 13247 90 PARK AVENUE NEW YORK, NEW YORK, 10016 (212) 986-4939 (212) 808-4080 hmeyenschein@rosebeck.com |
| 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 | DANIEL S. POLLEY, ESQ. |
| FIRM NAME | DANIEL S. POLLEY, P.A. |
| STREET | 1215 EAST BROWARD BOULEVARD |
| CITY | FORT LAUDERDALE |
| STATE | Florida |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 33301 |
| PHONE | 954-234-2417 |
| FAX | 954-234-2506 |
| betty@danpolley.com | |
| ATTORNEY AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | DANIEL S. POLLEY, ESQ. |
| FIRM NAME | DANIEL S. POLLEY, P.A. |
| STREET | 1215 EAST BROWARD BOULEVARD |
| CITY | FORT LAUDERDALE |
| STATE | Florida |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 33301 |
| PHONE | 954-234-2417 |
| FAX | 954-234-2506 |
| betty@danpolley.com | |
| AUTHORIZED TO COMMUNICATE VIA E-MAIL | YES |
| SIGNATURE SECTION | |
| SIGNATURE | /daniel s. polley/ |
| SIGNATORY NAME | Daniel S. Polley |
| SIGNATORY DATE | 12/02/2005 |
| SIGNATORY POSITION | Attorney of Record |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Fri Dec 02 10:01:26 EST 2005 |
| TEAS STAMP | USPTO/RAA-XX.X.XXX.XXX-20 051202100126572064-758035 20-320f8a333f0b368fd17b4f 831667ce-N/A-N/A-20051202 095005690245 |
| PTO Form 2196 (Rev 9/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |