Docket #:P27872.DC1
`
`Declaration and Power of Attorney for Utility or Design Patent Application
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`Japanese Language Declaration
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`As a below named inventor, I hereby declare that:
`
`My residence, post office address and citizenship are as stated
`below next to my name:
`
`I believe I am the original. first and sole inventor (if only one
`name is listed below) or an original, first and joint inventor (if
`plural names are listed below) of the subject matter which is
`claimed and for which a patent
`is sought on the invention
`entitled
`Rotary Impact Tool
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`the specification of which is attached hereto unless the
`following box is checked:
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`and was amended
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`PCT International Application Number
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`l have reviewed and understand the
`l hereby state that
`contents of the above identified specification,
`including the
`claims, as amended by any amendment referred to above.
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`I acknowledge the duty to disclose information which is
`material to patentability as defined in Title 37, Code of Federal
`Regulations, §1.56.
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`I hereby claim foreign priority under Title 35, United States
`Code §119(a-d) or §365(b) of any foreign application(s) for
`patent or
`inventors certificate, or §365(a) of any PCT
`international application which designated at least one country
`other than the United States,
`listed below.
`l have also
`identified below, by checking the “No" box, any foreign
`application for patent or inventor’s certificate, or of any PCT
`international application having a filing date before that of the
`application on which priority is claimed:
`Priority claimed
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`Prior foreign applications
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`2004-142844
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`Japan
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`12lMay/2004
`(Day/Month/Year Filed)
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`I] Additional foreign application numbers are listed on a
`supplemental priority sheet attached hereto.
`
`Page 1
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`BEST AVAILABLE COPY,
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`

`

`Docket #:P27872DCl
`
`Japanese Language Utility or Design Patent Application Declaration
`
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`I hereby claim the benefit under Title 35, United States Code
`§119 (e) of any United States provisional application(s) listed
`below.
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`(Application No.)
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`E] Additional provisional application numbers are listed on a
`supplemental priority sheet attached hereto.
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`I hereby claim the benefit under Title 35. United States Code
`§120 of any United States application(s). or §365(c) of any
`PCT international application designating the United States.
`listed below and, insofar as the subject matter of each of the
`claims of this application is not disclosed in the prior United
`States or PCT international application in the manner provided
`by the first paragraph of Title 35. United States Code §112,
`I
`acknowledge the duty to disclose information which is material
`to patentability as defined in Title 37. Code of Federal
`Regulations §1.56 which became available between the filing
`date of
`the prior application and the national or PCT
`international filing date of this application.
`
`(Application No.)
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`(Day/Month/Year Filed)
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`A
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`(Status)
`(patented,pending. abandoned)
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`(Application No.)
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`(Day/Month/Year Filed)
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`(Status)
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`E] Additional US. or international application numbers are
`listed on a supplemental priority sheet attached hereto.
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`I hereby declare that all statements made herein of my own
`knowledge are true and that
`all
`statements made on
`information and belief are believed to be true; and further that
`these statements were made with the knowledge that willful
`false statements and the like so made are punishable by fine
`or imprisonment. or both, under Section 1001 of Title 18 of the
`United States Code and that such willful false statements may
`jeopardize the validity of the application or any patent issued
`thereon.
`
`The undersigned hereby authorizes the US. attorney or agent
`appointed herein to accept and follow instructions from either
`his foreign patent agent or corporate representative, if any. as
`to any action to be taken in the Patent and Trademark Office
`regarding this
`application without
`direct
`communication
`between the US. attorney or agent and the undersigned.
`In
`the event of a change in the persons from whom instructions
`may be taken, the US. attorney or agent appointed herein will
`be so notified by the undersigned.
`
`BEST AVAILABLE COPY
`
`

`

`Docket #:P27872.DC1
`
`I
`
`Japanese Language Utility or Design Patent Application Declaration
`
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`I hereby
`POWER OF ATTORNEY: As a named inventor.
`appoint the attomey(s) and/or agent(s) associated with the
`Customer Number provided below to prosecute this application
`and transact all business in the Patent and Trademark Office
`connected therewith. and direct that all correspondence be
`addressed to that Customer Number:
`
`E§§E 07055
`
`CUSTOMER NUMBER
`
`07055
`
`Address: GREENBLUM & BERNSTEIN, P.L.C.
`1950 Roland Clarke Place
`Reston, VA 20191
`
`Efififiififififi :
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`.
`
`Direct Telephone Calls to:
`
`GREENBLUM & BERNSTEIN, P.L.C.
`(703) 716-1191
`
`BEST AVAILABLE COPY '
`
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`Full name of sole or first inventor
`Hidenori SHIMIZU
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`lnventor's signature
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`Date
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`Ja-an
`Post Office Address
`c/o Matsushita Electric Works, Ltd., 1048, Oaza-Kadoma
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`Full name of second joint inventor. if any
`Toshiharu OHASHl
`Second Inventor’s signature
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`
`Date
`
`_—
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`Citizenship
`Jaoan
`Post Office Address
`010 Matsushita Electric Works, Ltd., 1048, Oaza-Kadoma
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`information and signature for
`(Supply similar
`subsequent joint inventors.)
`
`third and
`
`

`

`Docket #:P27872.DC1
`
`Japanese Language Utility or Design Patent Application Declaration
`
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`Full name of third joint inventor. ifany
`Kozo KAWAI
`Third lnventor’s signature
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`Date
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`Ja-an
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`Full name offourth iomt Inventor if any
`Yoshinori SAINOMOTO
`Fourth Inventor’s Signature
`
`Date
`
`_—
`
`Efi
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`manages
`
`Citizenship
`Ja-an
`Post Office Address
`c/o Matsushita Electric Works Ltd 1048 Oaza Kadoma
`
`Fumiaki SAWANO
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`Full name of fifth joint inventor, if any
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`Fifth inventors signature
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`Date
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`c/o Matsushita Electric Works Ltd 1048 Oaza Kadoma
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`Full name of sixth jomt Inventor if any
`Hiroshi MIYAZAKI
`Sixth Inventor’s signature
`
`Date
`
`__
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`IE
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`Citizenship
`Ja-an
`Post Office Address
`c/o Matsushita Electric Works, Ltd., 1048, Gaza-Kadoma
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`(Supply similar information and signature for subsequent joint
`inventors.)
`
`BEST AVAILABLE COPY
`
`

`

`Docket #: P27872.DC1
`
`Japanese Language Utility or Design Patent Application Declaration
`
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`Full name of seventh joint inventor. if any
`Tadashi ARIMURA
`Seventh Inventor’s Signature
`
`Date
`
`__
`
`EE
`
`‘
`
`Citizenship
`Jaoan
`Post Office Address
`c/o Matsushita Electric Works Ltd., 1048. Oaza-Kadoma
`Kadoma Shl Osaka Japan
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`Tatsuhiko MATSUMOTO
`Eighth Inventor’s Signature
`
`Date
`
`
`
`Citizenship
`Ja-an
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`Post Offce Address
`c/o Matsushita Electric Works Ltd 1048 Oaza Kadoma
`
`Kadoma shi Osaka Japan
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`Full name of ninth joint inventor, if any
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`Ninth Inventor's signature
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`Tenth Inventors signature
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`Date
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`BEST AVAILABLE COPY
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`Page 5
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