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FORM D-VH For Vessel ull Ghires STATES COPYRIGHT OFFICE ‘REGISTRATION NOMBER DUH 0149 DATEGF REGISTRATIONPUBLICATION Sept. 30, 2003 Ment ow yor DONOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTNUATION SHEET. (Form 0-VHWCON) eae give the make and model ofthe vessel hat embodies the design Flstmaerent - 2450 BB Bar Boar ExrTEwen TRANSOM TITLE Caentet Consace (a) Weatgoree: style of the design for which registration is sought? Be Pi percuines VY Bér BOAT Wwrnt EXTENDED Tewsom Oe eee eee wide a net ing h ie f the design. Sestex(b) Povise bee ral statement setti for he alent Fea of design. a ae Dereccnare DESION Berar: é: LOMA Give Moy Eno ester , Mbumren teed, CES Moe EFFICIENT Peerotmmce, Morden Raiser Conse Gh (c) tis desianis sive rom an eater design, describe how ta design hasbeen vised, dated orrexanged, he om Bineu No (Aue 3 Provide the name and address of the designer(s). The name of the employer may be given instead of the designer(s) if, (1) the design was made within the regular scope of employment ofthe designers) and (2) the individual authorship ofthe design s dificult ‘or impossible to ascribe. DESIGNER) 1 Please check here if those condition are satisfied and you are providing the employer’ name. Name: DINheTy Boars ENC Name: Address: 2b US, thoy Bt N Address: Nimemowr Aa 35179 Trihe owners different from the designers) or employer named above, provide the name and addess ofthe owner: Name: —___‘SArmg Ag AOVE OWNER, OWNER, padres: DESIGNERS) in an application fled ina foreign country that extends to \O) Country: designs of owners who ae citizens of the United States, or to persons filing applications inthe United States, similar Date of application: PRIORITY protection to that afforded in 17 U.S.C. chapter 137 CLAIM Oves 5 (a) ‘Wasa spain fr reparation of hs design ened (Jy) I ys, ieniy We country and date of aplication: Serial No: fy esos conesnecove P= pf swensecueo SEP 05 th "Was this design made public before the date of application? Yes OQ No CATION RECENVE DATE MADE. " MORE ON BACK >; Poet EXAMINED BY FORM DV CHECKED BY Seem aves COPYRIGHT ‘OFFICE Use onty DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VHIC 7 Please provide the name and address of the person to whom correspondence regarding this application may be directed: Name: ROGER YrrBoRov eH CONTACT Address: 2149S" US Iho ain BS1'I79 Zip PERSON Email adress ARBOR OU 6H a) Poume Boars Up Fax number 25 @ -739 -H9S™ Dayne phone: (256) 2239+ 41 82 Give the name and account number f the registration fee isto be charged to a Deposit Account established in the Copyright Office: 8 ‘Name of Account: - DEPOSIT Account number: ACCOUNT 9 DECLARATION: The undersigned, asthe applicant or the applicants duly appointed agent or representative, being hereby warned. that willful false statements are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and that such willful false statements may jeopardize the validity ofthis application or any resulting registration, hereby declaresto the best of his/her knowledge and belief: (1) thatthe design has been fixed in a useful article; (2) thatthe design is original and was created by the designer(s) ot employer if applicable, named in the application; {G) that those aspects of the design for which registration is sought are not protected by a design patent; (@) thatthe design has not previously been registered on behalf of the applicant or applicant's predecessor in ile; and (5) thatthe applicants the person entitled to protection and to registration under chapter 13 of title 17, United States Code. Complete if applicable: ‘The design has been made public with a Following is the exact form of the desi SEE Araciteo © ‘Where on the useful article isthe design notice locat ON Thansom Nexr To Segiat NO, ign notice ice: CERTIFICATION AND ‘SWORN STATEMENTS [Lg —+—'~-+ + 1 the applicant he/she is properly authorized to execute this application on behalf ofthe applicant. OF 8.21/03 Cenetan mrnatewn ViP V. YA2BoROvEH D Porne Bosrs 0 CEES Wwwer