(M) DECLARATION FOR A FIRM
State of New Y ork, :
County of New York.) i
Thomas James, being duly sworn, deposes and says that he is a
\ (Name of affiant)
member of the firm, the applicant named in the foregoing statement;
that he believes the foregoing statement is true; that he believes said
firm is the owner of the trade-mark sought to be registered; that no
other person, firm, corporation, or association, to the best of his
knowledge and belief, has the right to use said trade-mark in the
United States, either in the identical form or in any such near resem-
blance thereto as might be calculated to deceive; that said trade-mark
is used by said firm 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
specvmens show the trade-mark as actually used upon the goods.
(Or facsimiles) )
THOMAS JAMES.
(Full signature of affiant)
Subscribed and sworn to before me, a notary public, this 15th day of
(Official title)
January, 1906.
(Date of execution)
[sEAL.] Harry Brown,
Notary Public.
(Official title)
(N) DECLARATION FOR A CORPORATION OR ASSOCIATION
State of Massachusetts,|
County of Suffolk. =
William Johnson, being duly sworn, deposes and says that he is the
(Name of affiant)
secretary of the corporation,’ the applicant named in the foregoing
(Official title)
statement; that he believes the foregoing statement is true; that he
believes said corporation ° is the owner of the trade-mark sought to be
registered; that no other person, firm, corporation, or association, to
the best of his knowledge 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 said corporation ® in commerce among the sev-
eral 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
4 If applicant does not have commerce with foreign nations or Indian tribes, this clause should be omitted.
5 Ifapplicant be an association, the word ‘“association ”’ should be substituted for the word ¢‘ corporation,”
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