Change Of Correspondence Address
`
`The table below presents the data as entered.
`
`Entered
`
`85391682
`
`4259407
`
`LAW OFFICE 110
`
`COCALEAF
`
`Input Field
`
`SERIAL NUMBER
`
`REGISTRATION NUMBER
`
`LAW OFFICE ASSIGNED
`
`MARK SECTION
`
`MARK
`
`CORRESPONDENCE SECTION (current)
`
`ORIGINAL ADDRESS
`
`NEW CORRESPONDENCE ADDRESS
`
`JUAN RODRIGUEZ
`PEMBROKE PINES Florida 33026-2598
`US
`954-5628616
`cocaleafcompany@gmail.com
`
`NEW ADDRESS
`
`The Coca-Leaf Company
`33 Montilla Ave
`Coral gables
`Florida
`United States
`33134
`cocaleafcompany@gmail.com;uremailcontact@gmail.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`YES
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`SIGNATORY POSITION
`
`AUTHORIZED SIGNATORY
`
`FILING INFORMATION SECTION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`/Juan Rodriguez/
`
`Juan Rodriguez
`
`12/24/2012
`
`Owner
`
`YES
`
`Mon Dec 24 12:08:38 EST 2012
`
`USPTO/CCA-XX.XXX.XX.XXX-2
`0121224120838076632-85391
`682-4906d9196c96829cfe5be
`4e2b9b6b2a1598-N/A-N/A-20
`121224120420176172

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