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\\\ 3 5 ‘5 ‘7
`
`
`
`SMALL gym-w
`TYPE C:
`
`I omen THAN
`OR SMALL ENTITY
`
`g
`
`+360:
`
`Q8IIISE
`
`OR TOTAL m
`
`.
`
`RATE
`
`ADDI-
`
`. TIONAL
`,
`FEE
`
`
`
`
`
`
`CLAIMS AS FILED - PART I
`-
`Column 1
`
`mm 1-—
`
`
`
`
`
`
`
`
`
`
`PATENT APPUCATION FEE DETERMINATION RECORD
`Effective December 8. 2004
`
`
`
`
`
`
`
`
`
`
`
`
` AMENDMENTA i2
`
`
`
`AMENDMENT3
`
`
`
`
`AMENDMENTC
`
`
`
`
` FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`
`
`
`
`
`‘
`TOTAL
`‘ It the entry in column I Is less than the entry in column 2. write '0‘ In column 3.
`
`
`" It the 'Highest Number Previously Paid For” IN THIS SPACE Is less than 20. enter ‘20.’
`ADDIT FEE
`
`"II the 'Highest Number Previously Paid For‘ IN THIS SPACE is less than 3. enter ‘3.’
`'
`
`The “Highest Number Previously Paid For' (Total or Independent) is the highest number found In the appropriate box in column].
`
`
`
`Column 2
`
`TOTAL CHARGEABLE CLAIMS _
`
`MULTIPLE DEPENDENT CLAIM PRESENT
`
`/"
`
`' '
`
`D _
`
`' If the difference in column 1 is less than zero. enter '0' in column 2
`
`CLAIMS AS AMENDED - PART II
`'
`
`omen THAN
`_
`—
`SMALL EN'I l I Y OR SMALL ENTITY
`
`HIGHEST
`
`NUMBER
`
`PREVIOUSLY
`
`
`PAID FOR
`
`_xsso= ‘
`
`
`
`
`
`
`REMAINING
`' ADDI-
`
`
`
`PREVIOUSLY
`AFTER
`TIONAL
`
`
`PAID FOR
`AMENDMENT
`
`
`
`—_
`
`
`'
`RATE
`
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`I
`
`REMAINING
`
`AFTER
`
`AMENDMENT
`
`
`HIGHEST
`Numasn
`‘ PREVIOUSLY
`
`PAID FOR
`
`
`
`
`
`' ADDI-
`TIONAL
`
`-
`RATE
`
`
`
`
`FORM PTO-815 fRev.10l04l
`Patent W 1mm Office. US. DEPARTMENTG MOE
`
`

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