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Form D-VH For Vessel Hall REGISTRATION NUMBER ‘DVH 0289. ‘BATE OF REGISTRATION PUBLICATION 04 05 06 sont, Dey vow 100 NOT WRITE ABOVE THIS LINE. Ir 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. AZURE. —— — TITLE ~ ‘What isthe type or style of the design for which registration is sought? Fiberglass deckboat _ Provide a brief general statement setting forth the salient features ofthe design. DESIGN ° a If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged. forasditonel | — ~ — _ dlstgns . . ee 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 employmentof the designer(s) and (2) the individual authorship ofthe design is difficult ‘or impossible to ascribe, DESIGNER(S) 1 Please check here if those conditions are satisfied and you are providing the employer's name, Name: __Anthony Kalil = Name ‘Address: 408 West University Avenue fraaeee Gainesville, Florida 32061 — If the owner is different from the designer(s) or employer named above, provide the name and address of the owner: Name; _Benninaton-Marine Corporation OWNER, saross; 52791 GR. 113 IF NOT aS Elkhart, indiana 46514 Was an application for registration of this design identified; , If yes, identify the country and date of applicat in an application filed in a foreign country that extends to Country: _