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U S DEPARTMENT OF COMMERCE
Examination of Applications
Registration in Foreign Countries
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abstract of title accompanying drawing Act of July AFFIDAVIT UNDER SECTION applicable notes applicant's application for registration application for renewal APPLICATION FOR TRADE-MARK Attorney and Verification attorney or agent calculated to deceive certificate of registration certification mark Class and presents collective mark Commissioner of Patents constructive notice corporation or association deposes and says description truly represent duly sworn facts set filed firm herewith five specimens identical form thereof lawfully be regulated mark as actually mark in commerce mark registered mark sought Number and title owner Power of Attorney power of substitution Practice in Trade-Mark presents Particular description Principal Register Register in accordance Register Marks registration issued regulated by Congress resemblance thereto section 12 service mark specimens or facsimiles statement are true substitution and revocation suggested forms Supplemental Register tion title of Class title report Trade-Mark Act trade-mark as actually TRADE-MARK REGISTRATION undersigned hereby appoints United States Patent written application