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FORM D-VH @ For Vessel Hutt UNITED STATES COPYRIGHT OFFICE REGISTRATION NUMBER DUH 0193 DATE OF REGISTRATION PUBLICATION wore 03 _ ow 16 you 04 DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) 1 Pleage give the make and model of the vessel that embodies the design. Pork [Bio Vv Ber Boat Cenran Consors TITLE 6 ‘What is the type or style of the design for which registration is sought? ‘Den \Consour (a) “Pigeracwes V BAY Boar worn extanen Treweom ATTACHED ( Ib) Provide a brief general statement setting orth the salient features of the design. DESIGN Hou. Site 400 Design Wi THEXTENOSD TRemsom, Deck, LAyour SHAPE ArmetteD Qonecknoret Deseo Fannmes EXTenen Teason GIVES Meee Room DYSON, EOIN] een Mouwreo th ives mone PER Fotmmce , Moro Reisen Consoue Arecren heck Nae fe eS ck (c)ehisdesign derived rom an air design, deste how hat eign at ‘been revised, adapted, or rearranged. NO Aw New P6s16N Loetep Huu Desien) witrDeex for additional design was made within the regular scope of employmentof the designer(s) and 2) the individual authorship ofthe designisdifficult ‘impossible to ascribe, DESIGNERS) Please check here if those condition are satisfied and you are providing the employers name. Name: DYNASTY Boers ING Name: Address BU4AS VS bw 3) N Address: ViNemenr ALA 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 3179 Trthe owner is different from the designers) or employer named above, provide the name and address of the owner: Name: — Srme AS fRovE OWNER, A, Oe Address: DESIGNERS) in an application filed in a foreign country that extends to Country: 5 (a) weaaetee fo resraton ofthis design ened (fy) Iyes, en the county and date of appa designs of owners who ar citizens ofthe United States, or Perry 12 Peron fling applicaons in the United States, similar Date of application: protection to that afforded in 17 U.S.C. chapter 137 CLAIM Qyes_KNo Serial No: ‘Was this design made public before the date of application? JX Xes Q) No. Bs APPUCATION RECEIVED z 4 canon cones necenedAM 9.9. 2004 : 4 27 "i nN If yes, on what date? egert_271H_200 ig DESIGN COPIES RECEIVE! DATE MADE fcecamc or MORE ON BACK Yoo ree me ay — rEREDEY CORRESPONDENCE cof nmIGHT aves oPYRIGE ose ont DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPANATE CONTINUATION SHEET Form BVIVOO ‘Please provide the name and address of the person to whom correspondence regarding this application may be directed: 7 Name: Ross YeRbonoven i N39! CONTACT Agiress: ZI 45° US) thoy 31 29 Name of Account: DECLARATION: The undersigned, as the applicant or the applicant's duly appointed agent or representative, being hereby warned that willful false statements are punistable by fine or imprisonment, or both, under 18 U:S.C. §1001, and that such willful false statements may jeopardize the validity of his application or any resulting registration, hereby declares to the best of his/her knowledge and belief: (1) that the design has been fixed in a useful article; (2) that the design is original and was created by the designer(s), or employer if applicable, named in the application; (3) that those aspects of the design for which registration is sought are not protected by a design patent; (5) that the applicant is the person entitled to protection and to registration un Complete if applicable: ‘The design has been made public with a design notice as pi Following is the exact form of the design notice: CERTIFICATION AND SWORN STATEMENTS ‘Where on the useful article is the design notice located? ON TR»w Som Next To Stitt NO, (4) thatthe design has not previously been registered on behalf of he appicit or applicants predecessor inl: and Tf the some aantinnnt halehe io nrnnerly authorized to éxecute this application on behalf of the applicant. S : ol 12-23-63 Senate mare er VP Pama TT Ponlon 9 Te 25¢ 739 419 2. 256 7 30-415 1 YAtsoenu en Polar Boar (ree Lowe Cee) eT gs US, Hwy 3] N. (FUSE pias? Perany tor tes mpresmiion Wrowretnoengy materstaas aperenaten naeranascry ne gua acimnine meron seme ee eee ey eee (ign une’ tha capt shal py spony olan an SEC0 ana ht mare an 100s ay ga at vol Ry arene Sap undt fa cnet sat be te trary 199965000 ‘Qmenoncamne U3. GOVERMENT PAINTING OFFICE: E-mail addres Yareboroved Pour boars Cow FAX number 25@:739' 4185 aye phone: 256 J23O4IB2 Give thename and account number if the registration fe isto be charged to a Deposit Account established inthe Copyright Office: \ si Gom | if i Forme (Blo V Bar Boar ItoLu PLuc Fup ViEW