Form F0023 - Application To Register Or Renew Trade And Service Marks 2008 Page 4

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OFFICE OF THE MISSISSIPPI SECRETARY OF STATE
F0023—Page 4 of 4
P. O. BOX 136, JACKSON, MS 39205-0136
601-359-1333
Application to Register or Renew Trade and Service Marks
ACKNOWLEDGMENT
State of
County of
I,
being first duly sworn, depose and say that I am
of
Title
Company/Applicant
the applicant herein, and that I make this affidavit and verification subject to the perjury laws on
the behalf of
and have the authority to make this
Company/Applicant
affidavit and I have read the above and foregoing application and know the contents thereof, and the facts set herein
are true.
I, further depose and say that the three specimens filed herein are true and correct.
Signature of Applicant
,
Sworn to and subscribed before me this
day of
Notary
Notary
Signature
Seal
My commission expires
F0023

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