Teas Change of Owner Address

OXYTOCIN

Hirsch, Eric Michael

Change Of Owner's Address

PTO Form 2197 (Rev 09/2005)
OMB No. 0651-0056 (Exp 09/30/2011)

Change Of Owner's Address


The table below presents the data as entered.

Input Field Entered
SERIAL NUMBER 78368996
LAW OFFICE ASSIGNED LAW OFFICE 103
MARK SECTION
MARK OXYTOCIN
OWNER SECTION (current)
NAME Hirsch, Eric Michael
STREET 37 Grand Ave. 3rd Floor
CITY Brooklyn
STATE New York
ZIP/POSTAL CODE 11205
COUNTRY US
PHONE 917-607-2829
CORRESPONDENCE SECTION (current)
ORIGINAL ADDRESS Hirsch, Eric Michael
37 Grand Ave. 3rd Floor
Brooklyn New York 11205
United States
917-607-2829
NEW OWNER ADDRESS
INTERNAL ADDRESS Apt. 4PA
STREET 2816 8th Ave.
CITY New York
STATE New York
ZIP/POSTAL CODE 10039
COUNTRY United States
CURRENT CORRESPONDENCE ADDRESS
NAME Hirsch, Eric Michael
INTERNAL ADDRESS Apt. 4PA
STREET 2816 8th Ave.
CITY New York
STATE New York
COUNTRY United States
POSTAL/ZIP CODE 10039
SIGNATURE SECTION
SIGNATURE /eric michael hirsch/
SIGNATORY NAME Eric Hirsch
SIGNATORY DATE 11/23/2004
FILING INFORMATION SECTION
SUBMIT DATE Tue Nov 23 16:42:16 EST 2004
TEAS STAMP USPTO/COA-XXX.XXX.XXX.XXX
-20041123164216452776-783
68996-250882d3f4cf17eaa50
3c56d6f660c0130-N/A-N/A-2
0041123153914063252




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