RECORDATION OF DISTINCTIVE IDENTIFICATION
OF OWNER OF VESSEL HULL DESIGN
‘The owner named below is an owner of one or more vessel hull designs pursuant to the Vessel Hull
Design Protection Act and is entitled to use the following distinctive identification in design notices
placed on vessels for which design protection is claimed:
Place the words or symbols consti the distinctive entiation in this space
Name of
omer Glassteeam, (ne
W43 €. StH St
Panama Cty Fl 3a40s
-
d ip-t2-0Y
Fate of Person Date
Submiting Designation
Anuis Retherfoed
Name of Person
‘Submitting Designation
Relationship
to Owner
Di rRe
Note: This form must be accompanied by a $50 filing fee made payable to the Register
of Copyrights. Mail to:
Dept. D-VH
‘Vessel Hull Registration
P.O, Box 71380
‘Washington, DC 20024-1380.