`Doaurmnent Desarigtion: Power of Atlomey
`
`
`OME 0851
`;
`WS: Patent and T
`GE COMMENT3
`ISMMShort WUASS TASS 3 Walid CAME SoniNumber
`Under the Papenvork Reduction Act of S008no persdes ace ronuired to reanind.ty @ collection
`
`
`
`i} hereby revoke ¢
`
`ihe boxes
`
`powers ofsilorney rtinthe application eT eithert
`
`
`
`| Anpticstion Naniber
`
`
`evdecineennifsienmnniewiennsinasiniinhanaattenndiene
`
`| Filing Date
`
`ef |
`
`{Note Tie hosesabove may. be lefi- blanki information isprawded on fore PTO)AWeA
`ihereby appoint the Patent Practitioners) assonisiedwith the plowing Cusinmer Nucibar a
`
`
`io Wansent all business in the United Sistas F stentand Trademanc Offica connected then
`ie atleched transmilial letter {fomn PTOJAAB2s
`yihas
`
`
`
`
`
`sraby appoint Practifiorer(s) nacnedi the-atiachadhet GormPROMIAREO)as myfaur attomeyes) or AGERE
`newsaa in theUnited States Patent aid Trademark Oifiea commentedtherewith far tie patent soplicatiarate
`Sed fnanemnlielietier Gorn PTOVAINO2A) or identiied above.
`(Nota: Complete force PTCYAIAR28.5
`
`Pease rsognize ar change ihe correspondiente address for the auplisation identified in the attached transmittal
`letter ar the boxes above to:
`The address associated Wh Ihe abovementions
`OR
`
`stores Number
`
`The addiess aesadiaisd wih Gustomer Numben|281"y
`
`Fimor
`inelivicial Name
`
`
`/
`
`
`
`
`
`
`
`| Addiass
`state
`2ip
`3
`City
`Country
` FNNCS
`End”
`=
`f Tetephane
`
`f Lam the Appleant (f the Applicant is a jeriatc entify, at thevipplioant name iy the
`
`Xeolas Pharmaceuticals Lid.
`es
`|
`inventor or Joint laventer (ile sol required below}
`Seanad
`Lagal Represanistive dla Deceased or Lagally Incapaciated Inventor(litle sot raguited Setawd
`iv’ Ageignescr Serdan te Whenihe hiventer is Linderan Obligation to Agsign iprevide signers tite Tf apgiicant is 4 juristic entity
`i ] Pargan Who Chhenwise Shaws SullisientProprietary inferest(e.g. 8 patitianwader6PCFRA136iS23) Was granted in Ge
`
`spalication: ox is conauarently being
`fled with this document) (grovide signers te if applicant
`ja.a junaic enti
`cpnnnt
`KHAN
`SIGNATURE of Applicant Tor Patent
`
`The omleeignead fahise es ganpliead below) ls Ruthorized ie-actan behalfofthe aeoanigs, whereihe: aanicnd
`
`. SapiegeELNAAN
`SANA penDate (Qutionah
`
`
`
`&
`ay
`
`SEED_FEEOasccscnianinsnosananeenncccientetiaaannnnntinrnninhinaannenss
`
`EX AS eae RT
`Coenen
`NARA
`ARAAAARAN
`NESTE: Signeture «Thisform: must be signed by the aopleactif aonadance wih 37 CFRSa. See 27 CER TA nr sainahes requirements
`
`
`
`
`aneandcedifications Honan tart cane appre use muiine
`RUANShe S pruttes ne -
`.
`scccreeoreoooovoceiionotoedl
`‘
`a
`Cobain of rebaant
`aby the.
`narnia ByASA
`=
`SEIN
`2 TIA, The collectionbb setittated
`i sara 5 103&erriptets,
`
`2 aE ng, and seineeo
`etpplinatinn f PRkReUSETO, Titeval any de ENCIG UBORMe fd chatOaSe any coemenis an the emus
`forradneing ix bunten, shuldf8s AENae: Seanaye Sti US.
`Batenl ens TradamanmGiies, L15.
`inicio Gomigdensthtsfortesaesugge
`
`
`
`
`Dapadirant fF Doraments, 0. Gow 1480, Mevanara, YA DB
`SET SENO FEES GR COMPLETED FORMS TQ THIS ADORESS. SEND TO: Comminsioney,
`
`fox Patents,P.O.Bow TA8, Aloxanttria, VA RRTD,
`.
`.
`iFyeumean assietarice J) caeiaing ihe form. cal PAOD?PASTOS ane aeleoh oye
`
`ee
`
`