Statement of Use

BAUSCH + LOMB

Bausch & Lomb Incorporated

Trademark/Service Mark Statement of Use

PTO Form 1553 (Rev 9/2005)
OMB No. 0651-0054 (Exp. 09/30/2011)

Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))


The table below presents the data as entered.

Input Field
Entered
SERIAL NUMBER 77838912
LAW OFFICE ASSIGNED LAW OFFICE 110
EXTENSION OF USE NO
MARK SECTION
MARK BAUSCH + LOMB
MISCELLANEOUS STATEMENTS SECTION
MISCELLANEOUS STATEMENT "CONTACT WETTING AND CLEANING LENS SOLUTIONS" in the identification of goods in Class 5 has been amended to "CONTACT LENS WETTING AND CLEANING SOLUTIONS." This amendment is merely to fix a typographical error and does not broaden the scope of the goods.
OWNER SECTION (current)
NAME Bausch & Lomb Incorporated
STREET Law Department
CITY Rochester
STATE New York
ZIP/POSTAL CODE 14604-2701
COUNTRY United States
PHONE 585-338-8318
FAX 585-338-8706
EMAIL XXXX
OWNER SECTION (proposed)
NAME Bausch & Lomb Incorporated
INTERNAL ADDRESS Law Department
STREET One Bausch & Lomb Place
CITY Rochester
STATE New York
ZIP/POSTAL CODE 14604-2701
COUNTRY United States
PHONE 585-338-6367
FAX 585-338-8706
EMAIL XXXX
GOODS AND/OR SERVICES SECTION
INTERNATIONAL CLASS 003
CURRENT IDENTIFICATION OPHTHALMIC LENS CLEANING SOLUTIONS, NAMELY, CLEANERS FOR USE ON EYEGLASSES, SUNGLASSES AND OPTICAL EQUIPMENT AND APPARATUS; Impregnated cleaning cloths for optical products
GOODS OR SERVICES KEEP ALL LISTED
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILE SPN0-1-16124210254-133949940_._BAUSCH_LOMBSpec3.jpg.pdf
       CONVERTED PDF FILE(S)
       (3 pages)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0002.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0003.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0004.JPG
SPECIMEN DESCRIPTION an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods
INTERNATIONAL CLASS 005
CURRENT IDENTIFICATION OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT WETTING AND CLEANING LENS SOLUTIONS AND TABLETS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; OPHTHALMIC DIAGNOSTIC TEST STRIPS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE TABLETS, OPHTHALMIC DIAGNOSTIC TEST STRIPS
GOODS OR SERVICES IN USE IN COMMERCE OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT LENS WETTING AND CLEANING SOLUTIONS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S) \\TICRS\EXPORT11\IMAGEOUT 11\778\389\77838912\xml8\ SOU0005.JPG
SPECIMEN DESCRIPTION a picture of the packaging clearly showing the mark used for the goods
INTERNATIONAL CLASS 009
CURRENT IDENTIFICATION CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS, BINOCULARS, SPOTTING SCOPES AND TELESCOPES
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE BINOCULARS, SPOTTING SCOPES AND TELESCOPES
GOODS OR SERVICES IN USE IN COMMERCE CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S) \\TICRS\EXPORT11\IMAGEOUT 11\778\389\77838912\xml8\ SOU0006.JPG
SPECIMEN DESCRIPTION a picture of the packaging clearly showing the mark used for the goods
INTERNATIONAL CLASS 010
CURRENT IDENTIFICATION OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS
GOODS OR SERVICES DELETED FROM THE APPLICATION OR INCLUDED IN A REQUEST TO DIVIDE LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES
GOODS OR SERVICES IN USE IN COMMERCE OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILE SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec10.pdf
       CONVERTED PDF FILE(S)
       (1 page)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0007.JPG
       ORIGINAL PDF FILE SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec_10.pdf
       CONVERTED PDF FILE(S)
       (4 pages)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0008.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0009.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0010.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0011.JPG
SPECIMEN DESCRIPTION online catalogs with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods
INTERNATIONAL CLASS 016
CURRENT IDENTIFICATION PRINTED MATTER, NAMELY, BROCHURES, PAMPHLETS, NEWSLETTERS, PRODUCT INSERTS, PATIENT FITTING GUIDES AND PRODUCT CARE GUIDES IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE
GOODS OR SERVICES KEEP ALL LISTED
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILE SPN4-16124210254-133949940_._BAUSCH_LOMB-Spec16.pdf
       CONVERTED PDF FILE(S)
       (1 page)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0012.JPG
SPECIMEN DESCRIPTION a product insert clearly showing the mark used for the goods
INTERNATIONAL CLASS 021
CURRENT IDENTIFICATION OPTICAL LENS CLEANING PRODUCTS, NAMELY, EYEGLASS AND LENS CLEANING CLOTHS
GOODS OR SERVICES KEEP ALL LISTED
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILE SPN5-1-16124210254-133949940_._BAUSCH_LOMB-Spec21.pdf
       CONVERTED PDF FILE(S)
       (2 pages)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0013.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0014.JPG
SPECIMEN DESCRIPTION an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods
INTERNATIONAL CLASS 041
CURRENT IDENTIFICATION PROVIDING INFORMATION AND TRAINING FOR THE PURPOSE OF EDUCATING CONSUMERS IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE
GOODS OR SERVICES KEEP ALL LISTED
FIRST USE ANYWHERE DATE 10/01/2011
FIRST USE IN COMMERCE DATE 10/01/2011
SPECIMEN FILE NAME(S)
       ORIGINAL PDF FILE SPN6-16124210254-133949940_._BAUSCH_LOMB-Spec41.pdf
       CONVERTED PDF FILE(S)
       (2 pages)
\\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0015.JPG
        \\TICRS\EXPORT11\IMAGEOUT11\778\389\77838912\xml8\SOU0016.JPG
SPECIMEN DESCRIPTION a webpage displaying the mark in association with the services
REQUEST TO DIVIDE NO
PAYMENT SECTION
NUMBER OF CLASSES IN USE 7
SUBTOTAL AMOUNT [ALLEGATION OF USE FEE] 700
TOTAL AMOUNT 700
SIGNATURE SECTION
DECLARATION SIGNATURE /Jon O. Webster/
SIGNATORY'S NAME Jon O. Webster
SIGNATORY'S POSITION Attorney of Record
DATE SIGNED 11/11/2011
FILING INFORMATION
SUBMIT DATE Fri Nov 11 14:35:37 EST 2011
TEAS STAMP USPTO/SOU-XXX.XXX.XX.XXX-
20111111143537327911-7783
8912-4806d53c3ac6575df9a7
96bdd4aaa95073-DA-10002-2
0111111133949940841



PTO Form 1553 (Rev 9/2005)
OMB No. 0651-0054 (Exp. 09/30/2011)


Trademark/Service Mark Statement of Use
(15 U.S.C. Section 1051(d))


To the Commissioner for Trademarks:

MARK: BAUSCH + LOMB
SERIAL NUMBER: 77838912



The applicant, Bausch & Lomb Incorporated, having an address of
      Law Department
      One Bausch & Lomb Place
      Rochester, New York 14604-2701
      United States
is submitting the following allegation of use information:

For International Class 003:
Current identification: OPHTHALMIC LENS CLEANING SOLUTIONS, NAMELY, CLEANERS FOR USE ON EYEGLASSES, SUNGLASSES AND OPTICAL EQUIPMENT AND APPARATUS; Impregnated cleaning cloths for optical products

The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.

Original PDF file:
SPN0-1-16124210254-133949940_._BAUSCH_LOMBSpec3.jpg.pdf
Converted PDF file(s) (3 pages)
Specimen File1
Specimen File2
Specimen File3


For International Class 005:
Current identification: OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT WETTING AND CLEANING LENS SOLUTIONS AND TABLETS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; OPHTHALMIC DIAGNOSTIC TEST STRIPS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY

This allegation of use does NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these goods or services are either being permanently deleted or included in a Request to Divide: TABLETS, OPHTHALMIC DIAGNOSTIC TEST STRIPS

The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class: OPHTHALMIC PHARMACEUTICALS, NAMELY, CONTACT LENS WETTING AND CLEANING SOLUTIONS, EYE DROPS, SOLUTIONS, GELS, LUBRICANTS AND OINTMENTS USED FOR MOISTURIZING THE EYE AND TO TREAT EYE INFECTION, EYE INFLAMMATION AND OTHER ALLERGY SYMPTOMS; OPHTHALMIC VITAMIN AND MINERAL SUPPLEMENTS; VISCOELASTIC PREPARATIONS USED IN OPHTHALMIC SURGERY
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) a picture of the packaging clearly showing the mark used for the goods.
Specimen File1


For International Class 009:
Current identification: CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS, BINOCULARS, SPOTTING SCOPES AND TELESCOPES

This allegation of use does NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these goods or services are either being permanently deleted or included in a Request to Divide: BINOCULARS, SPOTTING SCOPES AND TELESCOPES

The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class: CONTACT LENSES, PLASTIC BLANKS FOR CONTACT LENSES, CONTACT LENS CASES, EYEGLASS REPAIR KITS COMPRISED OF SCREWDRIVER, HINGE SCREWS AND HINGE RINGS; REPLACEMENT PARTS FOR EYEGLASSES; COMPUTER SOFTWARE USED FOR OPHTHALMIC SURGICAL PROCEDURES, DIAGNOSING EYE CONDITIONS AND FITTING OF LENSES; MAGNIFIERS
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) a picture of the packaging clearly showing the mark used for the goods.
Specimen File1


For International Class 010:
Current identification: OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS

This allegation of use does NOT cover the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class; these goods or services are either being permanently deleted or included in a Request to Divide: LASERS, ABERROMETERS, TOPOGRAPHERS, KERATOMES AND BLADES

The mark is in use in commerce on or in connection with the following goods or services listed in either the application or Notice of Allowance or as subsequently modified for this specific class: OPHTHALMIC SURGICAL INSTRUMENTS AND DEVICES USED IN DIAGNOSING EYE CONDITIONS AND PERFORMING OPHTHALMIC SURGICAL PROCEDURES AND COMPONENT PARTS THEREOF, NAMELY, PHACOEMULSIFICATION DEVICES, HAND HELD OPHTHALMIC SURGICAL INSTRUMENTS, NAMELY, FORCEPS, SCISSORS, KNIVES, BLADES, HANDLES, DISSECTORS AND NEEDLES, INTRAOCULAR LENSES, INTRAOCULAR LENS INSERTERS, INTRAOCULAR LENS IMPLANTS, ENDOSCOPES, TONOMETERS AND CORNEAL SHIELDS
The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) online catalogs with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.

Original PDF file:
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec10.pdf
Converted PDF file(s) (1 page)
Specimen File1
Original PDF file:
SPN3-16124210254-133949940_._BAUSCH_LOMB-Spec_10.pdf
Converted PDF file(s) (4 pages)
Specimen File1
Specimen File2
Specimen File3
Specimen File4


For International Class 016:
Current identification: PRINTED MATTER, NAMELY, BROCHURES, PAMPHLETS, NEWSLETTERS, PRODUCT INSERTS, PATIENT FITTING GUIDES AND PRODUCT CARE GUIDES IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE

The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) a product insert clearly showing the mark used for the goods.

Original PDF file:
SPN4-16124210254-133949940_._BAUSCH_LOMB-Spec16.pdf
Converted PDF file(s) (1 page)
Specimen File1


For International Class 021:
Current identification: OPTICAL LENS CLEANING PRODUCTS, NAMELY, EYEGLASS AND LENS CLEANING CLOTHS

The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) an online catalog with the mark used in close proximity to pictures of the goods which includes information or means for ordering the goods.

Original PDF file:
SPN5-1-16124210254-133949940_._BAUSCH_LOMB-Spec21.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2


For International Class 041:
Current identification: PROVIDING INFORMATION AND TRAINING FOR THE PURPOSE OF EDUCATING CONSUMERS IN THE FIELD OF EYE CARE AND HEALTH OF THE EYE

The mark is in use in commerce on or in connection with all goods or services listed in the application or Notice of Allowance or as subsequently modified for this specific class

The mark was first used by the applicant, or the applicant's related company, licensee, or predecessor in interest at least as early as 10/01/2011, and first used in commerce at least as early as 10/01/2011, and is now in use in such commerce. The applicant is submitting one specimen for the class showing the mark as used in commerce on or in connection with any item in the class, consisting of a(n) a webpage displaying the mark in association with the services.

Original PDF file:
SPN6-16124210254-133949940_._BAUSCH_LOMB-Spec41.pdf
Converted PDF file(s) (2 pages)
Specimen File1
Specimen File2


The applicant is not filing a Request to Divide with this Allegation of Use form.

MISCELLANEOUS STATEMENTS
"CONTACT WETTING AND CLEANING LENS SOLUTIONS" in the identification of goods in Class 5 has been amended to "CONTACT LENS WETTING AND CLEANING SOLUTIONS." This amendment is merely to fix a typographical error and does not broaden the scope of the goods.


A fee payment in the amount of $700 will be submitted with the form, representing payment for the allegation of use for 7 classes.


Declaration

Applicant requests registration of the above-identified trademark/service mark in the United States Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (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 resulting 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 his/her own knowledge are true; and that all statements made on information and belief are believed to be true.


Signature: /Jon O. Webster/      Date Signed: 11/11/2011
Signatory's Name: Jon O. Webster
Signatory's Position: Attorney of Record

RAM Sale Number: 10002
RAM Accounting Date: 11/14/2011

Serial Number: 77838912
Internet Transmission Date: Fri Nov 11 14:35:37 EST 2011
TEAS Stamp: USPTO/SOU-XXX.XXX.XX.XXX-201111111435373
27911-77838912-4806d53c3ac6575df9a796bdd
4aaa95073-DA-10002-20111111133949940841



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