__.

A.B. (SEAL)

35

Assignment of Policy of Insurance

Know all men by these presents, that I, A.B., of the village of
Coxsackie, for and in consideration of $25, to me in hand paid by C.D.
of the same place, the receipt whereof is hereby acknowledged, have
sold, assigned, transferred, and set over, and by these presents do
sell, assign, transfer, and set over, unto the said C.D. the policy of
insurance, known as policy No. 23,685 of the Indemnity Insurance
Company, and all sum and sums of money, interest benefit and advantage
whatsoever, now due, or hereafter to arise, or to be had or made by
virtue thereof, to have and to hold the same unto the said C.D., and
his assigns forever.

In witness whereof, I have hereto affixed my hand, this June 20, 19__
(A.B.)

(Acknowledgment.)

36

Assignment of Patent Right

"Whereas, letters-patent, bearing the date the 10th of January, 1921,
were granted and issued by the Government of the United States, under
the seal thereof, to A.B., of the town of Bristol, of the State of
Pennsylvania, for (here state the nature of the invention) a more
particular and full description thereof is annexed to the said
letters-patents in a schedule; by which letters-patents the full and
exclusive right and liberty of making and using the said invention,
and of vending the same to others to be used, was granted to the said
A.B., his heirs, executors, and administrators, or assigns, for the
term of seventeen years, from the same date.

Now, know all men by these presents, that I, the said A.B., for and in
consideration of the sum of $100, to me in hand paid, the receipt
whereof is hereby acknowledged, have granted, assigned and set over,
and by these presents do grant, assign, and set over unto C.D., of the
said town of Bristol, his executors, administrators, and assigns,
forever, the said letters-patent, and all my right, title and interest
in and to the said invention, so granted unto me: to have and to hold
the said letters-patent and invention, with all benefit, profit and
advantage thereof, unto the said C.D., his executors, administrators,
and assigns, in as full, ample, and beneficial manner, to all intents
and purposes, as I, the said A.B., by virtue of the said
letters-patent, may or might have or hold the same, for and during all
the rest and residue of the term for which said letters-patent are
granted.

In witness