HomeMy WebLinkAboutContract 1842
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MINNESOTA SECRETARY OF STATE
APPLICATION FOR RENEWAL OF TRADEMARK,
SERVICE MARK, CERTIFICATION MARK OR COLLECTIVE MARK
IIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIII~IIIIIII~IIIIIIIIIIIIIII1111
13593600002
TO:
City of Columbia Heights
590 40th Ave NE
Columbia Heights MN 55421-
The renewal form can only be filed during the 6 months
- preceeding the expiration date listed in Item 5 below. The
renewal cannot be accepted before or after this six month
time period.
The filing fee to renew the registration for 10 years is
$25.00. .
M # 24246
ark:
Please read All of the instructions on the back of this
form before you fill it out and please remember this form
must be signed.
CURRENT INFORMATION ON FILE:
Circle with an opening at the
1.~~~e runs from the bottom of the
opening. Midpoint of this ~ine a
the inner edge of the 1/2 Clrc on
4. Date of original filing OCTOBER 9 I 1995
top & bottom. A vert
top oIening to the top of the
harz ine extends from this Ii
right
2. Classification Number
42
OCTOBER 9/ 2005
5. Current expiration date
3. Current Markholder(s) and Address(es)
City of Columbia Heights
590 40th Ave NE
Columbia Heights MN 55421-
If the address(es) of the CUifent matkholder(s) have changed, iist ali
address change information below: (Note: If the identities of the
markholder(s) have changed, an assignment must be filed.)
New Addresses:
stATe OF MiNNESOTA
DEPARTMENT OF STATE
RtID
MAY 1 7 2005
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t11(tJAAl1'~F
S(-10r~ta.rvot StatE'
I certify that I am authorized to execute this renewal and I further certify that I understand that by signing it I am subject to the penalties of
perjury as set forth in Minnesota Statutes section 609.48 as if I had signed this document under oath.
6. Signature ~;;;;:U' Date ,__,? --i ,j:~z;;--'
7. Name and telephone number of a contact person . LA} ('A I+e y- R I ~h5/4-1 (?~ '7 DC; '"- a C; /0
06930739 Rev. 2/99
GENERAL INFORMATION
This renewal form can only be filed during the six months preceding the expiration date. The renewal cannot be accepted
before or after this six month time period.
This form must be typewritten or printed in black ink for microfilming purposes.
Sign and date this document. Only one of the markholders must sign the form.
List the name and telephone number of a person to be contacted if there are any questions about this renewal filing.
Submit a $25.00 filing fee with your renewal application to the address listed below.
You will be sent a Certificate of Renewal after your document has been reviewed and filed.
INSTRUCTIONS FOR PRE-PRINTED FORMS
1. If all of the information pre-printed on this form is current, you need only sign and submit the form along with the
$25.00 filing fee.
2. The information pre-printed on this form is currently on file with the Office of the Secretary of State. Only the address
of the markholders in Item 3 may be changed on this form. If you are making an address change in item 3, you must list
the full street address, city, state and ZIP code of the markholder(s). If the markholders have changed, you must file an
assignment form. The form can be ordered by calling (651 )296-2803.
INSTRUCTIONS FOR NON PRE-PRINTED FORMS
1. List the words or phrase used in the mark as well as a description of any design that is part of the mark. (This infor-
mation is on the original certificate of registration.)
2. List the classification number that appears on your original certificate of registration.
3. List the names and addresses of the persons or entities currently on file with the Office of the Secretary of State. If
the addresses have changed, list the new addres in the box to the right. If the markholders have changed, you must file
an assignment form. The form can be ordered by calling (651 )296-2803.
4. List the date this mark was originally filed with the Secretary of State of Minnesota as it appears on the certificate of
registration.
5. List the date on which the mark expires, which is ten years after the date listed in item 4.
Please make the check payable to the Secretary of State.
Retum this form and the $25.00 fee to:
Secretary of State
180 State Office Building
100 Rev. Dr. Martin Luther King Jr. Blvd.
St. Paul, MN 55155-1299
(651 )296-2803
This document can be made available in alternative formats, such as large print, Braille or audio tape, by calling
(651 )296-2803Noice. For TTY communication, contact the Minnesota Relay Service at 1-800-62T..3529 and ask them to
place a call to (651 )296-2803. The Secretary of State's Office does not discriminate on the basis of race, creed, color,
sex; sexual orientation, national origin, age, marital status, disability, religion, reliance on public assistance or political
opinions or affiliations in employment or the provision of services.
Business Services
180 State Office Building
100 Rev. Dr. Martin Luther King Jr. Blvd.
Saint Paul, MN 55155
Mary Kiffmeyer
Secretary of State
Office of the Secretary of State
Packing Slip
May 17, 2005
CITY OF COLUMBIA HEIGHTS
To Whom It May Concern
590 40TH AVE NE
COLUMBIA HEIGHTS, MN 55421
Page 1 of 1
Client Account Number: 34207369
Batch Number: 1359360
Document Number
Document Detail
Filing Number
Fee
13593600002
TM Renewal (CIRCLE WITH AN OPENI)
25.00
Total Fees
$25.00
Payment Type Received
Payment Reference Number
Amount Paid
Check
112754
25.00
Total Payments Received
$25.00
Any overage amount on account with our agency will be refunded after 60 days if not used.
Visit our online services web page to discover timesaving, electronic methods of doing
business! www.online.sos.state.mn.us
(651) 296-2803
TTY (800) 627-3529