PTO Form 2197 (Rev 09/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 76634533 |
MARK SECTION | |
MARK | QUICKCOMPLETE |
OWNER SECTION (current) | |
NAME | GOUGH, JOHN |
STREET | 1995 HAZELNUT CT |
CITY | SAN MARCOS |
STATE | California |
ZIP/POSTAL CODE | 92078 |
COUNTRY | US |
PHONE | 760-801-7717 |
FAX | 760-727-5034 |
CORRESPONDENCE SECTION (current) | |
ORIGINAL ADDRESS | JOHN GOUGH 1995 HAZELNUT CT SAN MARCOS California 92078-5467 United States 760-727-5034 760-801-7717 john@behindit.com |
NEW OWNER ADDRESS | |
STREET | 998 Canyon Heights |
CITY | San Marcos |
STATE | California |
ZIP/POSTAL CODE | 92078 |
COUNTRY | United States |
PHONE | 760-801-7717 |
FAX | 760-727-5034 |
CURRENT CORRESPONDENCE ADDRESS | |
NAME | John Gough |
STREET | 998 Canyon Heights |
CITY | San Marcos |
STATE | California |
COUNTRY | United States |
POSTAL/ZIP CODE | 92078 |
PHONE | 7608017717 |
FAX | 7607275034 |
SIGNATURE SECTION | |
SIGNATURE | /John Gough/ |
SIGNATORY NAME | John Gough |
SIGNATORY DATE | 05/23/2005 |
SIGNATORY POSITION | Owner |
FILING INFORMATION SECTION | |
SUBMIT DATE | Mon May 23 15:26:26 EDT 2005 |
TEAS STAMP | USPTO/COA-XX.XX.XX.XX-200 50523152626257088-7663453 2-2507221b01d72d1f47ba1f1 d8933ea4ef2-N/A-N/A-20050 523152114770802 |