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PAUL D. PATE Application for Renewal
Secretary of State of Registered Mark
One actual specimen of use of mark or facsimile of
specimen of use of mark must accompany this application
State of Iowa
Th a e p c i l p a t n s i the owner of a mark which has been registered
with the Secretary of State under certificate number and hereby makes application for
renewal of the registration.
Address of Applicant:
Street City e t a t S P I Z
Indicate One: (A) Individual (B) Partnership (C) Corporation (D) Other
If B, state names and addresses of partners:
If C or D, state where incorporated:
If D, type of entity:
Description of mark
The mark described above has been and is still in use by the applicant in the state of Iowa, as well as in
the state(s) of :
I certify under penalty of perjury and pursuant to the laws of the State of Iowa that the preceding is true and correct.
g i S ne : d : e l t i T D : e t a
NOTES:
1. The application fee is $10.00. Make checks payable to SECRETARY OF STATE.
2. One actual specimen of use of mark or facsimile of specimen of use of mark must accompany this application.
3. The information you provide will be open for public inspection under Iowa Code section 22.11.
SECRETARY OF STATE
Business Services Division
Lucas Building, 1st Floor
Des Moines, Iowa 50319
Phone: (515) 281-5204
FAX: (515) 242-5953
635_0117
rev 7/21 Website: sos.iowa.gov
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