PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |
Input Field | Entered |
---|---|
SERIAL NUMBER | 79086518 |
LAW OFFICE ASSIGNED | LAW OFFICE 109 |
MARK SECTION | |
MARK | CRYSTAL WHITE |
NEW ATTORNEY ADDRESS | |
STATEMENT TEXT | By submission of this request, the undersigned hereby APPOINTS the following new attorney. |
NAME | Aimee L. Kaplan & Stewart J. Bellus |
FIRM NAME | Collard & Roe, P.C. |
STREET | 1077 Northern Blvd. |
CITY | Roslyn |
STATE | New York |
COUNTRY | United States |
POSTAL/ZIP CODE | 11576 |
PHONE | 516/365-9802 |
FAX | 516/365-9805 |
NEW CORRESPONDENCE ADDRESS | |
NAME | Aimee L. Kaplan & Stewart J. Bellus |
FIRM NAME | Collard & Roe, P.C. |
STREET | 1077 Northern Blvd. |
CITY | Roslyn |
STATE | New York |
COUNTRY | United States |
POSTAL/ZIP CODE | 11576 |
PHONE | 516/365-9802 |
FAX | 516/365-9805 |
SIGNATURE SECTION | |
SIGNATURE | /alk/ |
SIGNATORY NAME | Aimee L. Kaplan |
SIGNATORY DATE | 11/02/2010 |
SIGNATORY POSITION | Attorney |
FILING INFORMATION SECTION | |
SUBMIT DATE | Tue Nov 02 14:35:11 EDT 2010 |
TEAS STAMP | USPTO/RAA-XX.XX.XXX.XX-20 101102143511195075-790865 18-470668a74a2c925f7712bb 3508073c36fa-N/A-N/A-2010 1102143357198971 |
PTO Form 2196 (Rev 9/2005) |
OMB No. 0651-0056 (Exp 09/30/2011) |