| PTO Form 2197 (Rev 09/2005) |
| OMB No. 0651-0056 (Exp 09/30/2011) |
| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 77115632 |
| LAW OFFICE ASSIGNED | LAW OFFICE 108 |
| MARK SECTION | |
| MARK | GPAY |
| OWNER SECTION (current) | |
| NAME | Hertel, Andrew, D |
| STREET | 11847 se 319th pl |
| CITY | Auburn |
| STATE | Washington |
| ZIP/POSTAL CODE | 98092 |
| COUNTRY | United States |
| PHONE | 253-632-0753 |
| CORRESPONDENCE SECTION (current) | |
| ORIGINAL ADDRESS | HERTEL, ANDREW, D DOUGLAS E. WHITE, ACRONATIONAL LAW FIRM 14 CAMINO SOBRANTE ORINDA California 94563 United States 925-258-8080 925-258-8000 Doug@trademarkapplicant.com |
| NEW OWNER ADDRESS | |
| STREET | P.O. BOX 753 |
| CITY | Maple Valley |
| STATE | Washington |
| ZIP/POSTAL CODE | 98038 |
| COUNTRY | United States |
| CURRENT CORRESPONDENCE ADDRESS | |
| NAME | ANDREW DAVID HERTEL |
| STREET | P.O. BOX 753 |
| CITY | Maple Valley |
| STATE | Washington |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 98092-3602 |
| SIGNATURE SECTION | |
| SIGNATURE | /Andrew Hertel/ |
| SIGNATORY NAME | Andrew Hertel |
| SIGNATORY DATE | 04/07/2008 |
| SIGNATORY POSITION | Owner |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Apr 07 16:37:02 EDT 2008 |
| TEAS STAMP | USPTO/COA-XX.XXX.XX.XX-20 080407163702354433-771289 88-40067951a2a875c6d66bbc f81df5b4681-N/A-N/A-20080 407162550581149 |