Alternative-value paper refund form

4722554
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Inventors

Pettit, Thomas G.

Application #

900737

Filed

Aug-27-1986

Published

Feb-2-1988

Current US Class

283/105
283/56
434/433

International Classes

B42D 015/00

Field of Search

283/67 283/56 283/57 283/58 283/59 283/102 283/103 283/104 283/105 283/106 283/107 273/139 434/433

Assignee

St. Ives Laboratories, Inc. (Rolling Hills, CA)

Examiners

Bell; Paul A.

Attorney, Agent or Firm

Spensley Horn Jubas & Lubitz

US Patent References

4093276   Bipartite stock certif...
4195864   Multi-product coupon

Referenced by:

View Backward References

Citation

Cite This Patent

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Abstract
A single sheet paper form contains upon a first side the complete face of a negotiable instrument, nominally a check. Upon the opposite second side are printed one or more coupons in an image area which is partially overlapping of the oppositely juxtaposed image area of the check upon the first side. Severence of the check from the entire form is required in order to negotiate it, simultaneously dividing the coupon(s) and rendering it (them) unredeemable. Alternatively, severance of the one or more coupons from the entire form is required in order to redeem such coupon(s), simultaneously dividing the check and rendering it non-negotiable. The benefits promised, amounts, conditions, exercise dates, and other parameters of the check and the coupon(s) are completely independent. Further elements including a contest entry blank may be incorporated upon either side of the form, and either in alternative or non-alternative relationship to existing form elements of check and coupon(s).
 
Claims
What is claimed is:

1. A single piece of paper comprising:

a first side bearing a first image of a form; and

a second reverse side including a portion bearing a second image of a form said images partially overlapping, and positioned such that detachment of the portion bearing the second image mutilates the first image.

2. A single piece of paper as described in claim 1, wherein the first image occupies a portion of the first side and the first image is positioned such that detachment of the portion bearing the first image mutilates the second image.

3. The single piece of paper described in claim 2, wherein the portion of the reverse side that bears the second image is separated from the remainder of the reverse side by a first dividing line.



Description
BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates generally to paper forms used in commerce.

2. Description of the Prior Art

Forms, particularly paper forms, used in commerce may embody patentable features. The present invention is embodied in a single sheet paper form. The holderuser of such form will be able to choose amongst alternative uses of such form, the choice of using the form for one purpose thereafter precluding the choice of using the form for an alternative purpose. Certain Prior art patents show paper forms enabling alternative usage. U.S. Pat. No. 978,407 to H. J. Smith for a "TRANSFER TICKET" shows a street car transfer ticket wherein one of two ends may be removed depending upon the direction in which the passenger is traveling. When the ticket is used for travel an appropriate one end is removed. After the removal of one end the ticket is useful for travel only in the direction indicated by the remaining parts.
 
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