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DUH 0244 BATE OF REGISTRATION PUBLICATION - moon 06" oy 22 ve 05 DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VH/CON) Please give the make and model of the vessel that embodies the design. keland Boatworks, Inc. The Riverside TITLE (ai) tithe pe or se ofthe design for which eiseaion is sought? “) _Mlood/epoxy monocouque-laminated—hull—_ vide a c ures of ign. Seeran(b) Proven brie general statement sexing forth he salet emu ofthe dig, creck here it ‘pee inne Grote er BRT (cc) this design is desived trom an eaier design describe how that design has been revise, apied, or reranged. Ge Form Devcon for atone! 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 of the designer(s) and (2) the individual authorship of the design isdifficult ‘of impossible to ascribe. DESIGNERS) Pease chek href those condition rested and you are providing the employers name _ Name: Lakeland Boatworks, Inc Address,900 E. Main Street, Suite H Middleville, Michigan 49333 Tf the owner is different from the designer(s) or employer named above, provide the name and address of the owner: Same_as_above. “Was an application forregisration of his design denied = (by Tr yes, eniy the country and dat of application (8) nan appication filed ina foreign county tat extends to \O) Country: designs of owners who are citizens ofthe United Stats, or to persons fing application in the United States, simular Date of application PRIORITY protection to that afforded in 17 U.S.C. chapter 137 ‘CLAIM QyYes No Serial No: pay unter Pa eene rarer SS ISpe vm a ecte WORE ON BACK Cor DVH 0244 ‘uy ‘SMOMIeOg PUe|ay¥27 Aq pauBisag SPISIOALY OYL The Riv Lakelan , ‘ a | DVH 0244