POWER
OF ATTORNEY REVOCATION
IN THE UNITED
STATES PATENT AND TRADEMARK OFFICE
In re patent of:
__________________________________________________ (Name)
Patent No.: ___________________________
Issued on: ____________________________ (Date)
For:
____________________________________________________________ (Item)
To the Commissioner of
Patents and Trademarks:
On
_________________________ (Date), I gave a _____________________________ (“Power
of Attorney” or “Authorization of Agent”) to _____________________________
(Give Full Name and Address of Attorney/Agent) to prosecute the application for
letters patent which was filed on _____________ (Date) for an improvement in
______________________________________ (Specify Item), Serial Number
____________________. I hereby revoke
that ____________________ (“Power of Attorney” or “Authorization of
Agent”).
___________________________________ ___________________
Signature Date
