I hereby certify that I know the above-named. personally, and I know him to be a native-born citizen of the United States, and that the facts stated in this affidavit are true to the best of my knowledge and belief. I,. . a naturalized and loyal citizen of the United States, do hereby apply to the Department of State at Washington for a passport for myself [and wife, and my minor children as follows: ]. on the day of. born at In support of the above application, I do solemnly swear that I was born at. . . in. on or about .; that I emigrated to the United States, sailing on or about the from.. on board the . 19 ; that I resided . . . years, at. to .; that I was naturalized as a citizen of the United States before the. at... on the... day of. court of. as shown by the accompanying certificate of naturalization; that I am the identical person described in said certificate; that I am domiciled in the United States, my permanent residence being at . . . in the state of . . . ., where ; that I am about to go I follow the occupation of . . . . abroad temporarily; and that I intend to return to the United States. . with the purpose of residing and perform ing the duties of citizenship therein. OATH OF ALLEGIANCE Further, I do solemnly swear that I will support and defend the constitution of the United States against all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; and that I take this obligation freely, without any mental reservation or purpose of evasion: So help me God. Sworn to before me this. . . day [Signature of applicant . Notary Public I hereby certify that I know the above-named. 19 . personally, and I know him to be the identical person referred to in the within-described certificate of naturalization, and that the facts stated in his affidavit are true to the best of my knowledge and belief. [Signature of witness] [Address of witness] Applicant desires passport sent to following address: PATENTS, COPYRIGHT, AND TRADE- PATENTS APPLICATION FOR LETTERS PATENT-UNITED STATES To the Honorable Commissioner of Patents, Washington, D. C., U. S. A.: is. Your petitioner, residing at. prays that letters him for improvements in . . . annexed specification. a subject or citizen' of and whose P. O. address patent may be granted to as set forth in the whose register And I hereby appoint. number is. . ., attorney, with full power of substitution and revocation, to prosecute this application, to make alterations and amendments therein, to sign the drawings, to receive the patent, and to transact all business in the Patent Office connected therewith. To all whom it may concern: Be it known, that I, . . of . . . . . residing at. new and useful improvement in . . a subject or citizen' have invented a certain . ., of which the following is a specification. [Insert the specification in full, and explanations of accompanying drawings.] In testimony whereof, I have hereunto set my hand in presence of two subscribing witnesses. In signing, the first or f given name should be written in full. Two witnesses sign here. 'If a subject, erase "or citizen"; if a citizen, erase "subject or." or citizen' of. the above named petitioner, a subject. residing at... .., being duly sworn, deposes and says that he verily believes himself to be the original, first, and.. inventor of the improvements in . . . described and claimed in the annexed specification; that he does not know and does not believe that the same was ever known or used before his invention or discovery thereof; or patented or described in any printed publication in any country before his invention or discovery thereof or more than two years prior to this application, and that no application for patent on said improvement has been filed by him or his representatives or assigns in any country, except as follows: . . [When the oath is taken before an officer in a country foreign to the United States, all the application papers must be attached together and a ribbon passed one or more times through all the sheets of the application, and the ends of said ribbon brought together under the seal before the latter is affixed and impressed, or each sheet must be impressed with the official seal of the officer before whom the oath was taken, or if he is not provided with a seal, then each sheet must be initialed by him.] PETITION FOR CAVEAT-UNITED STATES To the Honorable Commissioner of Patents, Washington, D. C., U. S. A.: Your petitioner, States, residing at . state of... improvements in. a citizen of the United in the county of. . . . represents that he has made certain and that he is now engaged in making experiments for the purpose of perfecting the same, preparatory to applying for letters patent therefor. 'If a subject, erase "or citizen"; if a citizen, erase "subject or." 'Here insert, if previously patented, the country or countries in which it has been so patented, giving the date and number of each patent; also of each foreign application for patent, with date of filing. He therefore prays that the subjoined description of the invention may be filed as a caveat in the confidential archives of the Patent Office. of . . . And he hereby appoints. attorney, with full power of substitution and revocation, to prosecute this application, to make alterations and amendments therein, to receive the patent, to sign the drawings, and to transact all business in the Patent Office connected therewith. SPECIFICATION Be it known, that I,. United States, residing at. and state of. a citizen of the in the county of have invented certain and desiring caveat there new and useful improvements in. further to mature the same, file this. for, and pray protection of my right until I shall have matured the invention. The following is as full, clear, and exact a description of the invention as I am able at this time to give. In testimony whereof, I affix my signature in presence of two witnesses. [Two witnesses] Оатн Inventor. }ss. the above petitioner, being duly sworn, deposes and says that he is a citizen of the United States, residing at. ; that he verily believes himself to be the original, first, and . . . inventor of the improvement in described in the foregoing specification; and that he does not know and does not believe that same was ever before known or used prior to his invention thereof; that the same has not to his knowledge been in public use or on sale in the United States for more than two years prior to this application; that the same has not been patented to him nor to others, with his knowledge or consent, in any country. Sworn to and subscribed before me this. . . day of A. D. 19 [L. S.] |