DECLARATION

/ of

in the county of do solemnly

and sinccrcly déclare that I am in possession of an invention for, etc.

( The tille as in the pétition.) wliich invention I believe wilt be of great public utility ; that I am the true and first invcnlor thereof ( within this rcalm ) , and that lhe same is not in use by any other person or persons (thercin) to the bestof my knowledge and belief; ( — “ and that the instrument in writing under my hand and scal hereunto annexcd, particularly describes and ascertains the nature of the said invention and in wliat manner the same is to be performcd"); and I make this déclaration, conscientiously believing the same to be truc, and by virtuc of the