You are on page 1of 5
TITLE DESIGN Qoeck nore it Oicneck nere it registering ‘more than one design te Form D-VICON tor aaitional OWNER, IF NOT PRIORITY CLAIM DATE MADE PUBLIC TATE OF REGISTRATIONPUBLICATION D 7 ha San er Yow 00 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. Avon SEA SPRATT SET 320 ‘What isthe type or style ofthe design for which registration is sought? Oe eee INE; z o AT rovide a brief general statement setting forth the salient features ofthe design i Ceuds Ni L os HLL NEE.) RATICN A> Srape If this design is derived from an earlier design, describe how that de: has been revised, adapted, or rearranged, ‘or impossible to ascribe. Provide the name and address of the designer(s). The name of the employer may be. design was made within the regular scope of employment ofthe des ven instead of the designer(s) if, (1) the igner(s)and (2) the individual authorship ofthe designis difficult {Please check here if those conditions are sts fed and you are proviing the employer's name ‘Name: ST The w tt Name: __ Address: Zune We MALLET — Address _ 92 dao -_1ssy —____Fekaweg 2 Ifthe owneris diferent from the designers) or employer named above, provide the name and address ofthe owner: Name: s Abo ve — Address: — —_— Was an aplication for registration ofthis design identified IF yes, identify the country and dat of application: in an application filed in a foreign country that extends to Country _ designs of owners who are citizens of the United States, or to persons filing applications in the United States, similar Date of application: —__. _ protection to that afforded in 17 USC chapter 13? yes QNo Serial No: Was this design made public before the date of application? ff Yes Q No dy speucanion necewen oF ityesonwhatdae? Sephetuhen ASL ev& py cei cones escenen ® oy ae Be runosagceven _f// 8 MORE ONBACK :Gengeyst wea nun noaen ony 0 wor wate ene EXAMINED BY, ZL 4 FORM D-VH. CHECKED BY ——————— TRRESPODEE con Sour = Orne —————._ ony PO NOT WRITE ABOVE THIS LINE, IF YOU NEED MORE SPACE, USE A SEPARATE CONTINUATION SHEET, Form BURN) Please provide the name and address ofthe person to whom correspondence regarding this application may be directed: None PieRer RARBiE 269 Person Adres: 2 Sece lududuce WALT. 9a, 1856 a PERSON Fax number 23 146 GQZs 24 Give the name and account number ifthe registration fe is to be charged toa deposit account establiched inthe Copyright Office: Daytime phone:( 33.444 232923 ‘Name of Account: DEPOSIT Account number: ACCOUNT FR GinRATION: The undersigned, as the applicant or the applicant's duly appointed agent or representative, be Ny shat will fale statements are punishable by fine or imprisonment, ofboth under 18 USC § 1001, and the ekg false state- re pea, eoPardize the validity ofthis application or any resulting registration, hereby declares tothe best of he oy 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; Ba Pose ssPect of the design for which epstation is sought are not protected by a design patent, ‘Complete if applicable: {rhe design has been made public witha design notice as prescribed by 17 USC §1306. Following is the exact form of the design notice: CERTIFICATION AND SWORN STATEMENTS ‘Where on the useful article is the design notice located? Ite undersigned isnot the applicant, he or she is properly authorized to execute this application on behalf of the applicant. aa = ew AB April too = = CARBLEW PiemRe derer ece cube Vee Priel Nai Ah MN ae eT ee ce uke eee Certificate Tame w wl — maiedin ZODIAC 1 N TERN ATIONAL | LiEReE Bit Beeu)! Window” iersieais'? faces envelope meee” | EABRetre tigen neneko:nony oe sete totnis Le Maurice Water | a Rapeorconrin address: CryiSeateiZip ¥ —— [eee Sitbe 185y Go) Wovimeaux . FRANCE] Betaeenen Waste Bc 20026390 er ar eg Pt Aer {reg S27, ony repreentaoninniowngy ale 4 exeeiaon maa secing ern sean mn aay ery ns ban SS wat oe Pah I oy oo a a Form OM Rev OTaI06 Pin 72008 Prntd on eyed paper US covrnmant Png OMe 2009.08 DN 0368

You might also like