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Form D-VH tine sat can nk DVH 0307 SATE GF REGISTRATION PUBLICATION 05 15 06 ee eee ed ; ee va co eemeey Bo hal Bale 75 Gerke Mal Skill TITLE _ 2 Shaw!!! Pe nape pen igh aon er ps Seven este EP Ge POE Conare Liter, aitrized raised oar ecks Pcneck rere Aaval Shade lad he hes “ig hi \_seat pasitins, stan tins, LeaneL tbl ror nr registering If this design is derived from an earlier design, describe how that design has been revised, adapted, or rearranged. tacit — coor : 5 Provide the name and addres of the desiger().The name ofthe employer may be g : ; design as made within the regular scope of employment ofthe designers) and (2) the individual authorship the designs Gul brimpossiblew ascribe. DESIGNERS) Ul Please check bere if thse conditions are satisfied and you re providing the employers name. Name: Rey & Eddins Name: _ Address: a E Cenkr - - i If the owner is differen from the designer() or employer named above provid the name and adress ofthe owner: r Name; - OWNER, IF NOT ns a DESIGNERS - : Was an application for registration ofthis design identified yes idemiy the country and date of application: in an application filed ina foreign country tht extends to | County _ : designs of owners who are citizens ofthe United Stats, o | topersons fling applications inthe United States, similar Date of appicaion: PRIORITY rotection to that afforded in 17 U.S.C. chapter 13? cram Yas SNe Serial No - sts dsp mal pl bore tdi of plein? Yes No “Ape § es yaya’ eceven _ ; If yes, on what date? Jy _/ l0oF ey pesianot a DATE MADE i nosed 24 2 5 PUBLIC MORE ON BACK 5 apleaie soacos bre 7) 0 he Donor wire Heme Puget poe EXAMINED BY FORM D-VH GHEGKED BY coe ‘CORRESPONDENCE aoe ayes OFFICE Use ‘only DO NOT WRITE ABOVE THIS LINE. IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET. (Form D-VHICON). Please provide the name and address of the person to whom correspondence regarding this application may be directed: name Robert Lelolins. 7) a CONTACT Address: LBP Lele (weiss | —— mason Pozeran, MT 59718 sai aes (001 cadet boats. com Fax ounter 400) S85- S687 Dayne pone: G88 ) O14 - 4038 Give the name and account number if the registration fee isto be charged toa Deposit Account established.in the Copyright Office: ; Name of Account: DEPOSIT Account number: ACCOUNT a oo — DECLARATION: The undersigned, asthe applicant or the applicant's duly appointed agent or representative, being hereby warned ‘ that willful false statemnents 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 orany resulting registration, hereby declares tothe best ofhis orherknowledge and belief: (1) thatthe design has been fixed in a useful article; (2) thatthe design is original and was created by the designer(s), or employer if applicable, named in the application: {G) that those aspects ofthe design for which registration is sought are not protected by a design patent; (4) that the design has not previously been registered on behalf ofthe applicant or applicant's predecessor intitle; and (5) thatthe applicant isthe person entitled to protection and to registration under chapter 13 of ttle 17, United States Cod. Complete if applicable: "The design has been made public with a design notice as prescribed by 17 U.S.C. $1306. Following is the exact form of the design notice: Roveled Atfachid Adhesive Foil Plesk wth Protected Design 2006 Ro Dutt Boets * ‘Where on the useful article isthe design notice located? ALE Starboeid Enkei Lib face ofl esdent ect @ radritt boats. cevn CERTIFICATION AND SWORN STATEMENTS tion on behalf ofthe applicant. x Robert Ldldlins )Ge24-4038 Comrnc choc) gare 333" Zelelweiss 9 adaress: “Tozeman, MT S908 17 US. $1227 Peay or hina eran, ont oni naan ne nel ray lect ea tama ure i chap ppt uring aston 8 oink se py cpasaat t eran 08d terns a 90 ah ny se aes anata moy renee ng sae Masel boo” iranian 820024 1909