Specification

Your petitioner, (Name)_______________ a citizen of (Country)__________ and a resident of (City, State)__________, prays that letters patent may be granted for the design for a (Title)_______________as set forth in the following specification:

FIG. 1 is a ___________view of a __________showing my new design;

FIG. 2 is a ___________view thereof;

FIG. 3 is a ___________view thereof;

FIG. 4 is a ___________view thereof;

FIG. 5 is a ___________view thereof; and

FIG. 6 is a ___________view thereof.

I claim: the ornamental design for a __________as shown.

*Applicants are referred to the Disclosure Examples on Pages 9-13, to determine the proper wording and number of Figure Descriptions appropriate to their disclosure. Individual inventors should also complete a Statement Claiming Small Entity Status (FORM PTOS/SB/09), as well as a Declaration. Questions regarding an application and its forms may be directed to the Patent Assistance Center at 1-800-786-9199.