PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 12/31/2011)
`
`Combined Declaration of Use in Commerce & Application for
`Renewal of Registration of a Mark under Sections 8 & 9
`
`The table below presents the data as entered.
`
`Input Field
`
`Entered
`
`REGISTRATION NUMBER
`
`1123720
`
`REGISTRATION DATE
`
`SERIAL NUMBER
`
`MARK SECTION
`
`MARK
`
`OWNER SECTION (current)
`
`08/07/1979
`
`73185081
`
`BONTEX
`
`NAME
`
`STREET
`
`CITY
`
`STATE
`
`ZIP/POSTAL CODE
`
`COUNTRY
`
`ATTORNEY SECTION (new)
`
`BONTEX, INC.
`
`ONE BONTEX DRIVE
`
`BUENA VISTA
`
`Virginia
`
`24416
`
`US
`
`NAME
`
`FIRM NAME
`
`SIMOR L. MOSKOWITZ
`
`JACOBSON HOLMAN PLLC
`
`INTERNAL ADDRESS
`
`Suite 600
`
`STREET
`
`CITY
`
`STATE
`
`POSTAL CODE
`
`COUNTRY
`
`PHONE
`
`FAX
`
`400 Seventh Street, N.W.
`
`WASHINGTON
`
`District of Columbia
`
`20004
`
`United States
`
`202-638-6666
`
`202-393-5350
`
`

`
`EMAIL
`
`trademark@jhip.com
`
`AUTHORIZED TO COMMUNICATE
`VIA E-MAIL
`
`Yes
`
`ATTORNEY DOCKET NUMBER
`
`T08646
`
`OTHER APPOINTED ATTORNEY
`
`HARVEY B. JACOBSON, JR., JOHN CLARKE
`HOLMAN, ALLEN S. MELSER, MICHAEL R.
`SLOBASKY, MARSHA G. GENTNER, JONATHAN
`L. SCHERER, GEORGE W. LEWIS, WILLIAM E.
`PLAYER and NATHANIEL A. HUMPHRIES
`
`GOODS AND/OR SERVICES SECTION
`
`INTERNATIONAL CLASS
`
`019
`
`GOODS OR SERVICES TO BE
`DELETED
`
`FLOOR UNDERLAY, WALL COVERING,
`COUNTERTOPS,
`
`GOODS OR SERVICES IN USE IN
`COMMERCE OR FOR WHICH
`OWNER CLAIMS EXCUSABLE
`NONUSE
`
`IMPREGNATED FIBER WEB IN SHEET AND
`ROLL FORM USED IN THE MANUFACTURE OF
`OR AS A PART OF GASKETING, DESK TOPS,
`SHOE INSOLES, HEADWEAR, VISOR BOARDS,
`CHART AND METER PAPER
`
`SPECIMEN FILE NAME(S)
`
`\\TICRS\EXPORT7\IMAGEOUT7
`\731\850\73185081\xml1\S8 90002.JPG
`
`SPECIMEN DESCRIPTION
`
`scanned image of goods
`
`PAYMENT SECTION
`
`NUMBER OF CLASSES
`
`NUMBER OF CLASSES PAID
`
`SUBTOTAL AMOUNT
`
`TOTAL FEE PAID
`
`SIGNATURE SECTION
`
`SIGNATORY FILE NAME(S)
`
`1
`
`1
`
`500
`
`500
`
`\\TICRS\EXPORT7\IMAGEOUT7
`\731\850\73185081\xml1\S8 90003.JPG
`
`SIGNATORY'S NAME
`
`SIGNATORY'S POSITION
`
`Larry E. Morris
`
`General Manager
`
`PAYMENT METHOD
`
`CC
`
`FILING INFORMATION
`
`SUBMIT DATE
`
`Mon Jun 08 16:46:13 EDT 2009
`
`USPTO/S08N09-XX.XXX.XX.X-
`
`

`
`TEAS STAMP
`
`20090608164613992761-1123
`720-4404dc075817f5cc6d0ee
`f799a1b0c71afb-CC-3070-20
`090608164132100929
`
`

`
`PTO Form 1963 (Rev 5/2006)
`
`OMB No. 0651-0055 (Exp 12/31/2011)
`
`Combined Declaration of Use in Commerce & Application for Renewal of
`Registration of a Mark under Sections 8 & 9
`To the Commissioner for Trademarks:
`
`REGISTRATION NUMBER:(cid:160)1123720
`REGISTRATION DATE:(cid:160)08/07/1979
`
`MARK: (cid:160)BONTEX
`
`The owner, BONTEX, INC., having an address of
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)ONE BONTEX DRIVE
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)BUENA VISTA, Virginia 24416
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)US
`is filing a Combined Declaration of Use in Commerce & Application for Renewal of Registration of a
`Mark under Sections 8 & 9.
`
`For International Class 019, this filing does NOT cover the following goods or services for this specific
`class listed in the registration, and these goods or services are to be permanently deleted from the
`registration: (cid:160)FLOOR UNDERLAY, WALL COVERING, COUNTERTOPS,
`
`The mark is in use in commerce on or in connection with the following goods or services listed in the
`existing registration for this specific class; or, the owner is making the listed excusable nonuse claim:
`IMPREGNATED FIBER WEB IN SHEET AND ROLL FORM USED IN THE MANUFACTURE OF
`OR AS A PART OF GASKETING, DESK TOPS, SHOE INSOLES, HEADWEAR, VISOR BOARDS,
`CHART AND METER PAPER
`
`The owner is submitting one specimen showing the mark as used in commerce on or in connection with
`any item in this class, consisting of a(n) scanned image of goods.
`Specimen File1
`
`The registrant hereby appoints SIMOR L. MOSKOWITZ and HARVEY B. JACOBSON, JR., JOHN
`CLARKE HOLMAN, ALLEN S. MELSER, MICHAEL R. SLOBASKY, MARSHA G. GENTNER,
`JONATHAN L. SCHERER, GEORGE W. LEWIS, WILLIAM E. PLAYER and NATHANIEL A.
`HUMPHRIES of (cid:160)JACOBSON HOLMAN PLLC
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)Suite 600
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)400 Seventh Street, N.W.
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)WASHINGTON, District of Columbia 20004
`(cid:160)(cid:160)(cid:160)(cid:160)(cid:160)(cid:160) United States
`to file this Combined Declaration of Use in Commerce & Application for Renewal of Registration of a
`Mark under Sections 8 & 9 on behalf of the registrant. (cid:160)The attorney docket/reference number is T08646.
`
`A fee payment in the amount of $500 will be submitted with the form, representing payment for 1
`class(es), plus any additional grace period fee, if necessary.
`
`

`
`Declaration
`
`Signature
`Signatory's Name: Larry E. Morris
`Signatory's Position: General Manager
`
`Mailing Address:
`(cid:160)(cid:160)(cid:160)JACOBSON HOLMAN PLLC
`(cid:160)(cid:160)(cid:160)400 Seventh Street, N.W.
`(cid:160)(cid:160)(cid:160)WASHINGTON, District of Columbia 20004
`
`Serial Number: 73185081
`Internet Transmission Date: Mon Jun 08 16:46:13 EDT 2009
`TEAS Stamp: USPTO/S08N09-XX.XXX.XX.X-200906081646139
`92761-1123720-4404dc075817f5cc6d0eef799a
`1b0c71afb-CC-3070-20090608164132100929
`
`

`
`

`
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`

`
`ROUTING SHEET TO POST REGISTRATION (PRU)
`
`Registration Number?
`
`1123720
`
`RAM Sale Number: 3070
`
`Serial Number:
`
`73185081
`
`l
`
`RAM Accounting Date: 20090609
`
`Total Fees:
`
`$500
`
`Note: Process in accordance with Post Registration Standard Operating Procedure (SOP)
`
`Transaction
`
`Transaction
`Date
`
`Fee per
`Class
`
`Number
`of Classes
`
`Number of
`Classes Paid
`
`§8 affidavit
`Application for Renewal (§9)
`
`20090608
`20090608
`
`$100
`$400
`
`Physical Location: 900 - FILE REPOSITORY (FRANCONIA)
`
`Lost Case Flag: False
`
`In TICRS (AM—FLG—IN—TICRS): True
`
`Transaction Date:
`
`20090608