(J) POWER OF ATTORNEY
An applicant desiring to appoint an attorney may add the following
paragraph to Form A, B, or C:
“The undersigned hereby appoints —— —, whose postal
address is ——— Street, city of ———, State of ———, his (its)
attorney, to prosecute this application for registration, with full
powers of substitution and revocation, and to make alterations and
amendments therein, to receive the certificate, and to transact all
business in the Patent Office connected therewith.”
(K) SEPARATE POWER OF ATTORNEY
To the Commissioner of Patents:
The undersigned hereby appoints —— - ———— of —— State
of ———, his attorney to prosecute this application for registration,
with full power of substitution and revocation, to make alterations
and amendments therein, to receive the certificate and to transact
all business in the Patent Office connected therewith.
(Signed)
(IL) DECLARATION FOR AN INDIVIDUAL
State of Pennsylvania, ld
County of Philadelphia.|™
William Johnson, being duly sworn, deposes and says that he is
(Name of applicant)
the applicant named in the foregoing statement; that he believes
the foregoing statement is true; that he believes himself to be the
owner of the trade-mark sought to be registered; that no other
person, firm, corporation, or association, to the best of his knowl-
edge and belief, has the right to use said trade-mark in the United
States, either in the identical form or in any such near resemblance
thereto as might be calculated to deceive; that said trade-mark is
used by him in commerce among the several States of the United
States (and between the United States and foreign nations or Indian
tribes)!; that the description and drawing presented truly represent
the trade-mark sought to be registered; and that the specimens show
(Or facsimiles)
the trade-mark as actually used upon the goods.
WirLiam JoHNsoN.
(Full signature of applicant)
Subscribed and sworn to before me, a notary public, this 15th day
(Official title) (Date of
of June, 1906.
execution)
[SEAL.] RicaArD Jongs,
Notary Public.
(Official title)
+ Ifapplicant does not have commerce with foreign nations or Indian tribes, this clause should be omitted.
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