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Macintosh Picture Format  |  1995-10-07  |  365.3 KB  |  521x717  |  8-bit (75 colors)
   ocr: DECLARATION The undersigned being hereby warned that willful false statements and the like: s0 made are punishable by fine or imprisonment, or both, under 181 U.S.C. 1001, and that such willlul falsc statements may jeopardize the validity of the application or any resulting registration, declares that heshe is properly authorized to execute this application on behalf of the applicant; he/she believes the applicant to be the owner of the trademarkiservice mark sought to be registered, or, if the application is heing filed under 15 U.S.C. 1051(b), he/she believes applicant to be entitled to use ...