`
`-I
`
`,
`
`
`
`
`
`PATENT APPLICATION FEE DETERMINATION RECORD
`
`Ef'fecllve December 8, 2004
`
`CLAIMS AS FILED - PART I
`
`UVS. NATIONAL STAGE FEES
`
`(Column I)
`
`
`(Column '2)
`
`Application or Dockel NLIIIIIJeI
`
`
`
`
`
`X$'50=
`
`EXAMINATION FEE
`
`
`SEARCH FEE
`
`
`_ FEE FOR EXTRA SPEC. PGS.
`/ 50 —
`'
`
`TOTAL CHARGEABLE CLAIMS ‘—
`
`
`m-WO =
`~ INDEPENDENT CLAIMS
`'
`minus 3 =
`
`Inn’I
`X“
`
`
`MULTIPLE DEPENDENT CLAIM PRESENT '
`OR-H
`
`OR' Tom I
`III
`M
`
`
`
`If the difference In column 'I
`is less-than zero, enler "0" in column 2
`
`
`
` "
`
`
`OTHER THAN
`
`SMALL ENT'TY
`
`
`
`
`
`
`-
`€52)“
`FEE
`
`.
`
`
`
`CLAIMS AS AMENDED - PART II
`'
`(Column 3)
`(Column 1)
`‘(Column 2)
`CLAIMS
`HIGHEST
`
`
`
`PRESENT
`
`
`REMAINING
`NUMBER
`
`
`AFTER
`PREVIOUSLY
`EXTRA
`
`
`
`AMENDMENT
`PAID FOR
`fl!
`
`
`._-
`
`fiik
`
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`
`[j
`
`-
`SMALL ENTIW OR
`ADDI-
`TIONAL
`FEE
`
`OR +3 360 =
`
`TOTAL ADDIT‘
`FEE
`
`
`OR
`E:1 F»
`
`(Column 1)
`CLAIMS
`'
`
`
`REMAINING
`
`AFTER
`
`
`AMENDMENT
`
`AMENDMENT8 I9. 2
`
`.
`
`(Column 2)
`HIGHEST
`
`
`NUMBER
`PREVIOUSLY
`
`
`PAID FOR .
`
`_ (Column 3)
`PRESENT
`EXTRA
`.
`
`'
`
`.
`
`‘
`
`_
`"
`TTgIEAL
`.
`. FEE
`
`OR
`
`RATE '
`
`OR A x s 200 = '
`
`OR + $660 =
`TOTA ADDIT.
`FEE
`
`OR
`
`AMENDMENTA
`
`
`
`
`
`
`
`
`
`
`'- III Ihe entIy In column 1 Is less Ihén the entry In column :2. wnte “0" In column a.
`"'
`IIIhe ”nghest Numbev Prevlously Pald For" IN THIS SPACE I: less than '20', mm "20'.
`_
`I
`'
`"
`'" II the “Helms! Numbet Prevloualy Pald Foc" IN THIS SPACE I: less than '3'. enler '8'.
`The. 'HIgheaI Number Prevlous'Iy PaId For“ (Tom 0! Independent) la the hlghest numtier lound in the approprlaIe box In column 1.
`
`_,.,
`
`.
`
`.- ..
`
`. _...__ nun nmnnumnwnrnnlllnflc
`
`
`
`
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