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12810391
`
`PATENT APPLICATION FEE DETERMINATION RECORD
`Effective October 2, 2008
`
`Application or Docket Number
`
`CLAIMS AS FILED - PART|
`
`(Column 1)
`
`(Column 2)
`
`U.S. NATIONAL STAGE FEES
`
`EXAMINATION FEE
`
`FEE FOR EXTRA SPEC. PGS.
`
`minus 100 =
`
`/50=
`
`TOTAL CHARGEABLE CLAIMS
`
`13
`
`minus 20 =
`
`INDEPENDENTCLAIMS
`
`MULTIPLE DEPENDENT CLAIM PRESENT
`
`Ll
`
`* if the difference in column 1 is less than zero, enter "0"in column 2
`
`CLAIMS AS AMENDED- PARTII
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`
`
`
`
`(Column 3)
`
`PRESENT
`EXTRA
`
`SMALL ENTITY
`
`OR
`
`LARGE ENTITY
`
`FEE
`
`RATE
`
`FEE
`
`OR [BASIC FEE
`
`ao;mBLEe| a]im m
`
`X$270=
`
`$430
`
`X $ 135 =
`
`$980
`
`X$26=
`
`OR{ X$52=
`
`X$110=
`
`OR} X$220=
`
`OR] +3390 =
`
`OR
`
`TOTAL
`
`SMALL ENTITY
`
`OR
`
`OTHER THAN
`SMALL ENTITY
`
`
` AMENDMENTA
`
`a I
`
`
`
`
`ndependent
`Minus
`ae
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`[]
`
` TOTAL ADDIT,|JOR Me
`
`
`
`
`(Column 2)—(Column 3)
`(Column 1)
`
`NUMBER
`REMAINING
`
`AFTER
`
`
`AMENDMENT
`
`
`
`
`
`PREVIOUSLY
` AMENDMENTB ‘Qo
`
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`
`
`If the entry in column 1 is less than the entry in column 2, write “O" in column 3.
`** If the “Highest Number Previousty Paid For" IN THIS SPACEis tess than ‘20’, enter "20".
`*** If the "Highest NumberPreviously Paid For" IN THIS SPACEisless than ‘3’,enter "3".
`The "Highest NumberPreviously Paid For" (Total or Independent) is the highest numberfoundin the appropriate box in column 1.
`
`
`
`
`
`
`
`FORM PTO-875
`
`(Rev. 02/2009)
`
`Patent and Trademark Office - U.S. DEPARTMENT OF COMMERCE
`
`

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