PTO/SB/06 (10.07)
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`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
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`Under the Pa-erwork Reduction Act of 1995 no ersons ‘are re uired to res:ond to a collection of information unless it dis-la s a valid OMB control number.
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`PATENT APPLICATION FEE DETERMINATION RECORD
`Applicafim °r°°°k°tNUMb°r
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`_ Substitute for Form PTO-675
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`APPLICATIONAS FILED '— PART I
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`minus 20 -
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`EXAMINATION FEE
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`TOTAL CLAIMS
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`INDEPENDENT CLAIMS
`(37 CFR 1.16(h))
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`If the Specification and drawings exceed 100
`APPLICATION SIZE
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`Sheets of paper, the application size fee due
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`FEE
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`Is $260 ($130 for small entity) for each
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`(37 CFR 1.16(s))
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`additional 50 sheets or fraction thereof. See
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`35 U.S.C. 41 a 1 G and 37 CFR1.-16 s.
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`MULTIPLE DEPENDENT CLAIM PRESENT (a7 CFR‘meon'
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`" If the difference in celumn 1 is less than zero, enter '-0' in column 2.
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`RATE $ .
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`TOTAL
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`APPLICATION AS AMENDED - PART il
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`HIGHEST
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`REMAINING
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`RATE (3)
`RATE (3)
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`. FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM '(37 CFR 1160))
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`(CCIumn1)
`CLAIMS
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`2 Applieefion SIze Fee (37 cm 1460:» '
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`TOTAL
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`‘ II the entry In column 1 Is less than the entry In Column 2. write '0' in column 3.
`" it the ‘nghest Number Previously Paid For IN THIS SPACE ls-léss than 20. enter '20".
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`"‘ If the 'I-lighest Number Previously Paid For” IN THIS SPACE is less than 3. enter '3',
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`The 'HI 2 hest Number Previousl Paid For‘
`otai 'or Indeo ndent is the hihest number found In the a- ro-n'ate box in column 1.
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`Ifyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2P
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`This collection of‘lnforTnation is requimd by 37 CFR 1.16. The information Is required to obtain or retain a benefit by the public which is to file (and by the
`USPTO to process) an application. Confidentiality is. governed by 35 U.S.C. 122‘ and 37‘ CFR 1.‘14.'Thle coliewon is estimated to take 12 minutes to complete,
`including gathering. preparing. and submitting the completed application form'to the USPTO. Time will vary depending upon the Individual case. Any comments
`on the amount at time you require to complete this form and/or suggestions for reducing this burden. Should be' sent to the Chief Information Officer. US. Patent
`and Trademark Office, U.S. Department of Commerce, PO. Box 1450.>Alexandr1a. VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
`ADDRESS. SEND TO: Commissioner for Patents, 9.0. Box‘1450, Alexandria. VA 22313-1450.
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