`
`,
`is:
`1:5:_1i_ Date:
`Name; caroign Spriggs
`INSTRUCTIONS: To certify amendments the R&A Clerk should check the "AMENDED" column. The Text Editor should check "ENTERED" after the amendment has been
`entered.
`RETAIN lN FILE.
`
`AMENDED ENTERED
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`AMENDED T0!
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`Name:
`
`Citizenship:
`I: En '
`'
`
`i:State/Country
`
`E Zip
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`U.S. Class:
`First Use in Commerce:
`
`CD1
`LEM Description of Mark:
`
`.
`
`Translation of Words in Mark:
`
`' Name/Portrait Description/Consent:
`’ Section 2(t): Z Entire Mark
`l:l|n Part
`l:l Limitation Statement:
`= Use in Another Form:
`
`‘A
`
`Concurrent Use Statement:
`Prior U.S. Registrations:
`. Domestic Representative:
`Foreign Country of Origin:
`a
`.
`m Foreign Application No.:
`Q Section 44(d) Claimed: Y/N
`Foreign Registration No.:
`Foreign Registration Expiration Date:
`Foreign Renewal Reg. No.:
`FM Foreign Registration Renewed Expiration
`;’M;: Attorney Name:
`T 7
`E] Name
`" Correspondence:
`M Attorney Docket Number:
`
`1,1...
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`Frgn. Appl. Filing Date:
`
`Frgn. Reg. Date:
`
`Frgn. Reg. Renewed“
`
`te:
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`Inter St. Address
`
`Citylstate/Zip
`
`I certify that all con
`
`D
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`ions have been entered in accordance with the above instructions and text editing guidelines.
`"KW /
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`L C.
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`5;.
`Date
`Text Editor
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`Initial Box if No Amendments are required
`7 Cj
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