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`> MGr|ii,In1S!lc|ie‘r5'DEr:(I|5
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`3
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`0.G. Vinyl Decal
`
`i
`E
`O.G Vinyl Decal
`
`I Show off your Salt Life attitude! This
`Salt Life decal is made from UV rated
`vinyl and delivers an easy installation.
`This Salt Life vinyl decal features long
`lasting vinyl, perfect for your vehicle or
`boat
`Die tut vinyl detal
`Specialized IJV rated
`Hand made
`Weather proof
`Comes in clear packaging
`Small 6"
`Medium 12"
`Large 24"
`
`$6.00 — ‘1;10,00
`
`

`

`

`

`Declaration
`
`Applicant requests registration of the above-identified traciemaridservice mark in the United States Patent and
`Trademark Office on the Principal Register established by the Act of July 5, 19-46 (15 U.S.C. Section 1051 et seq., as
`amended). Applicant is the owner of the mark sought to be registered, and is using the mark in commerce on or in
`connection with the goods/services identified above, as evidenced by the attached specimen(s) showing the mark as
`used in commerce.
`
`The undersigned, being hereby warned that willful false statements and the like so made are punishable by fine or
`imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements may jeopardize the validity
`of the form or any resuiting registration, declares that he/she is properly authorized to execute this form on behalf of the
`applicant; he/she believes the applicant to be the owner of the trademark/service mark sought to be registered; and that
`all statements made of hislher own knowledge are true; and that all statements made on information and belief are
`believed to be true.
`
`Signature Se
`
`‘on
`
`Signature:
`Si gnatory's Name: Keith T. Combs
`Signatorfs Position: Managing Director
`
`l 2? ll 3
`I
`Date Signed:
`Signatory's Phone: 904~2-41-7258
`
`NOTE TO APPLICANT: When filed as part of the electronic form (i.e., scanned and attached as an image file), the
`signature page must include both the signature information and the boilerplate declaration language. Do not include
`the entire application, but do ensure that the boilerplate declaration language actually appears; a signature by irseijfwill
`not be acceptable. If, due to browser limitations, the boilerplate declaration language appears on a previous page when
`printed, you must "merge" the declaration and signature block onto a single page prior to signing, so that the one
`complete page can be scanned to create an acceptable image file. It is recommended that you copy-and-paste the entire
`text form into another document, manipulate the spacing there to move the declaration and signature section to a
`separate page, and then print this new version of the text form to send to the signatory.
`
`http1/feteasusptogov/acufxsit.service‘?xsl=hsign
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`1/2512013
`
`