`uLlCAflON/REGISTRATION H
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`‘Date: /fl SerialNo.:
`Reviewer:
`I cmifyall i.nforrnau'on in the database matched the information in the file and rmwmections were required.
`INSTRUCTIONS:
`lfthe tnfomtadon in the datzbasedoa not match the
`in the file the reviewer should check the ERROR column
`/
`R E -D“ N IN H L
`After comecuo
`la editing), the EDITED column shanimiechecked.
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`ennoa :i:
`Mam: wordszij.
`Drawing Code: {E/'
`Mark Type:
`Register:
`
`Amended Registiett I:
`Pn'me Classificatm:
`
`Date Register Amended: E
`«
`
`Active 1:}
`Class Status
`lmemational Class: Add (:1
`U.S. Class: Add l:l
`
`Inactive 1 Class status page;
`Delete [:1
`Reclassjfv Q
`Delete C]
`peciassm, :
`
`Date of First Use it Commerce:
`Use in Another Fmm:
`Goods and Servims: .
`Certification Statement:
`
`Attorney Name:
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`pnme crass
`
`Correspondence: E:JName l’:l Inter St. Address I City/St/Cntry
`Docket Number: 1!
`
`E
`
`Domestic Representative:
`Concurrent Use Statement:
`
`Descri tion of Maria Statement:
`Disclaimer:
`
`Lining and Stippiirrg Statement:
`
`Name/Portrait Description Consent Statement:
`Translation ofwords in Mark Statement:
`
`Entire Mark
`Section 2(f):
`Forein Ent Number:
`
`Country of Origin:
`Foreign Application No.2
`Foreign Registration No.:
`oreign eg.
`p. ate:
`Renewed: Foreigrt Reg. No.:
`
`[:1 in Pan
`
`[2 Limitation Stater
`
`Filing Date:
`Registration Date:
`
`Renewal Date:
`
`Renewed: Foreign Reg. Exp. Date:
`Priority Claimed: Section 44(d):
`Prior U.S. Registrations: Registration Nos.:
`
`Assignment or Name Change:
`‘ licant:
`[:1 Name
`D Em‘ T e
`
`.
`
`Other:
`
`:] Citizenshifstate oflnc.
`Entity Statement:
`Composed of Statement:
`Doing Business As (DBA) or (AKA) or (TA) Statement:
`, Address:_ I: imer
`[:]City
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`I certifythatall oamxdonshavebeatenteruiinaccordancewith theaboveinsutuxionsand texteditingguidellifirl.
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