PETITION FOR CAVEAT-CANADA

To the Commissioner of Patents, Ottawa:

The undersigned, J. K., of New Edinburgh, in the county of Russell, in the Province of Ontario, school teacher, an intending applicant for a patent, who has made certain new and useful improvements in locomotive engines and has not perfected his invention, prays that his specification may be filed as a caveat in the Patent Office. [Describe invention

so far as possible, and refer to letters in drawing, as in the specification.] J. K.

Canada,

OATH

Province of Ontario, ss.

County of Russell.

I; J. K., of New Edinburgh, in the county of Russell, Province of Ontario, school teacher, make oath and say that I am the inventor of the invention described in the foregoing specification, and that the allegations contained therein are respectively true and correct.

J. K. Sworn before me, at New Edinburgh, the . . . day of A. D. 19

E. F.,

the true and first inventor thereof; and that the same is not in use by any other person or persons to the best of

patent, and request that all notices, requisitions, and communications relating thereto may be sent to such agent at the above address.

(a) Here insert name and full address and calling of applicant or applicants.

(b) Here insert title of invention.

(c) In the case of more than one applicant, state whether all, or if not, who is or are the inventor or inventors.

(d) Signature of applicant or applicants.

STATUTORY DECLARATION AS TO IDENTITY OF

INVENTION-GREAT BRITAIN

(a).

do solemnly and sincerely declare that (b)

with the (c) .

A. D. 19

the... day of. (e) . .

acquainted

specification signed by (d) . . . . . on which accompanies

application for letters patent in Great Britain for an invention of (f) . . .., and that the invention described therein is identical with the invention described in the specification of letters patent of the United States of America, dated. . . No. . . ., a certified copy

of which is filed herewith.

And (g). . . . . make this solemn declaration, conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declaration Act, 1835.

(a) Here insert name and full address and calling of applicant, or

of each of the applicants.

(b) I am or we are.

(c) Provisional or complete.

(d) Me or us.

(e) My or our.

(f) Here insert title of invention.

(g) I or we.

(h) Signature of applicant or of each of applicants.

[This declaration must be made before a British consul or notary public.]

ASSIGNMENT BEFORE PATENT

did

for improve

Whereas I, [name of assignor], of . make application for letters patent of ments in . . . which invention is fully described in the specification pertaining to said application, which I signed under oath the . . . day of . . A. D. 19:

Now this indenture witnesseth, that for and in consideration of the sum of. dollars, to me in hand paid by [name of assignee], of. the receipt of which is hereby acknowledged, I, the said [name of assignor], do hereby sell, assign, and transfer unto the said [name of assignee], all my right, title, and interest in and to the said improvement and the invention and the letters patent therefor when granted; the same to be held and enjoyed by the said [name of assignee], his heirs, assigns, or legal representatives, as fully and entirely as the same would have been held and enjoyed by me, if this assignment and sale had not been made.

And I do hereby declare that I have not conveyed to any other party the rights and interests herein transferred to the said [name of assignee].

The commissioner of patents is hereby requested to issue said letters patent when granted to the said [name of assignee].

Witness my hand and seal this. . . day of . A. D. 19

[This assignment must be acknowledged.]

[L. S.]

Now, therefore, this indenture witnesseth, that for and in consideration of. . . . . dollars, to me in hand paid by said , the receipt whereof is hereby acknowledged, I, the said [name of assignor], have assigned, sold, and set over, and do hereby assign, sell, and set over, unto the said [name of assignee] all the right, title, and interest in and to the said invention, and the letters patent therefor; the same

to be held and enjoyed by the said [name of assignee], for his own use and behoof and for the use and behoof of his heirs, assigns, or legal representatives, to the full end of the term for which said letters patent are granted, as fully and entirely as the same would have been held and enjoyed by me had this assignment and sale not been made.

And I do hereby declare that I have not conveyed to any other party the rights and interest herein transferred to the said [name of assignee].

In testimony whereof, I have hereunto set my hand and seal the . . . day of . . A. D. 19

[This assignment must be acknowledged.]

[L. S.]

GRANT OF A TERRITORIAL RIGHT IN A PATENT

Whereas I, .

of.

and state of .

of..

for.

of

day of.

of..

in the county did obtain letters patent

which letters patent bear date the A. D. 19 ; and whereas . . .

is desirous of acquiring an interest therein: Now this indenture witnesseth, that for and in consideration of the sum of . . . . . . dollars, to me in hand paid, the receipt of which is hereby acknowledged, I have granted, sold, and set over, and do hereby grant, sell, and set over, unto the said . . . all the right, title, and interest which I have in said invention, as secured to me by said letters patent, for, to, and in the several states of .., and.. and . . . . . ., and in no other place or places; the same to be held and enjoyed by the said for his own use and behoof, and for the use and behoof of his legal representatives, to the full end of the term for which said letters patent are granted [if it be intended to grant for any extended term, then add, and for the term of any extension thereof], as fully and entirely as the same would have been held and enjoyed by me had this grant and sale not been made.

In testimony whereof, I have hereunto set my hand and affixed my seal this. . . day of.

Sealed and delivered

in the presence of

A. D. 19

COPYRIGHT

APPLICATION FOR COPYRIGHT REGISTRATION-UNITED

STATES

Date.

19

To the Register of Copyrights, Washington, D. C.: Inclosed find $ . . . . . . in money order, which you are requested to apply as follows:

(a) As the statutory fee for recording the accompanying. title. $. . .

(b) As the statutory fee for a copy under seal of such record (certificate), fifty cents each, $

1. Nature of article. .

[Use only one or the other of these eight designations: A, book (if literary composition, in prose or verse, including newspaper article, magazine contribution, serial story, or single poem); B, periodical; C, musical composition; D, dramatic composition; E, map or chart; F, engraving, cut, or print; G, chromo or lithograph; H, photograph.] 2. Title of work . .

3. Name of claimant of copyright, and residence. Name,

Residence,

4. Country in which the article is to be printed or produced

5. Name of the author [or, translator, or, editor], and of the country of which he is now a citizen or subject.

[State whether copyright is claimed as author, designer, or proprietor.]

7. Specification of nature of claim of copyright

[State, if desired, specifically upon what copyright protection is claimed, e. g., "Preface," "Notes and Emendations," "Illustrations," "New matter added to new edition," etc.]

8. Name and address to whom reply is to be mailed.

Name,

Address,