Your Petitioner, ————, a citizen (or subject) of ————, residing at ————, prays that Letters Patent be granted to him for the improvement in ————, set forth in the annexed specification.
(Signature of Applicant.)
To the Minister of the Interior:
The Petition of ————, a citizen (or subject) of ————, residing at ————, represents that he has made certain improvements in ————, and desires further time to mature the same. He, therefore, prays the protection of his right until he shall have matured his invention, and that the subjoined description thereof may be filed as a caveat, in the confidential archives of the office, and preserved in secrecy.
(Signature of Applicant.)
NO. 3.—OATH FOR PATENT OR CAVEAT.
| Hawaiian Islands, | } | ss. |
| Island of —————— |