Change Of Owner's Address
`
`The table below presents the data as entered.
`
`Entered
`
`85391682
`
`4259407
`
`LAW OFFICE 110
`
`COCALEAF
`
`Juan Rodriguez
`
`12000 NW 15TH CT
`
`Pembroke Pines
`
`Florida
`
`33026-2598
`
`US
`
`cocaleafcompany@gmail.com
`
`Input Field
`
`SERIAL NUMBER
`
`REGISTRATION NUMBER
`
`LAW OFFICE ASSIGNED
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`EMAIL
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`NEW OWNER ADDRESS
`
`INTERNAL ADDRESS
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`EMAIL
`
`WHO
`
`33 Montilla Ave
`
`Coral Gables
`
`Florida
`
`33134
`
`United States
`
`thenewkidontheblock@live.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`Yes
`
`CORRESPONDENCE SECTION (current)
`
`ORIGINAL ADDRESS
`
`JUAN RODRIGUEZ
`11003 NW 33 STREET
`DORAL Florida 33172
`US
`cocaleafcompany@gmail.com;uremailcontact@gmail.com
`
`CORRESPONDENCE SECTION (NEW CORRESPONDENCE ADDRESS FOR OWNER)
`
`NAME
`
`FIRM NAME
`
`STREET
`
`CITY
`
`JUAN RODRIGUEZ
`
`WHO
`
`33 MONTILLA AVE
`
`Coral Gables
`
`

`
`STATE
`
`COUNTRY
`
`POSTAL/ZIP CODE
`
`EMAIL
`
`Florida
`
`United States
`
`33134
`
`cocaleafcompany@gmail.com;uremailcontact@gmail.com
`
`AUTHORIZED TO COMMUNICATE VIA E-MAIL
`
`YES
`
`SIGNATURE SECTION
`
`SIGNATURE
`
`SIGNATORY NAME
`
`SIGNATORY DATE
`
`/Juan Rodriguez/
`
`Juan Rodriguez
`
`05/17/2015
`
`SIGNATORY POSITION
`
`Authorized/WHO/Member
`
`FILING INFORMATION SECTION
`
`SUBMIT DATE
`
`TEAS STAMP
`
`Sun May 17 03:27:55 EDT 2015
`
`USPTO/COA-XX.XXX.XXX.XX-2
`0150517032755776679-85391
`682-530ddea691d6ac5c582a7
`3d2129f7a94eed9f5572b8c07
`8a1bbd3cbbb5444ce1f-N/A-N
`/A-20150517032041766406

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