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`i believe that t am: the original inventor or an original
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`PEOAIANY
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`THIS. AGDRESS. SEND Ta: Some i
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`Petitionerfapglicant is cautioned to avoid submitting personal informaiion in documents filed in a patent application that may
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`SN SUDAN
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`PATTS828US/au (PRICG-735 US}
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`Under the Faparvork Reduction det of 1995, no persons are raguired ic resperid loa notreaction of
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`United States agniication or PUT infemational application rumber
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`POTION20478/107857
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`The aboveidentified anpiicagen was made or authadzed to be made by me,
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`i believe thal famthe ariginal inventorar an original joint inventor of a claimed invention in the agplivation.
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`WARNING:
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`Pettionersppiicant is cauticned tp avoid sulumiting persona
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`contribute fo identity thet, Personal information such as social security rumbers, hank aooount numbers, or credit card numbers
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`to supports petition of an application.
`if this type of persanal information is included in documents submitted Inthe USPTO,
`petiiorers/appicanis shaukl consiiar radacting such oersonal infomation fram the socuments before suimmiting them to the
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`LEGAL NAME OF INVENTOR
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`PTOUNAIG+ (08-42
`Agiveved for une tugs VA02028, GMS O88?AOR
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`reguired bs respond ma colon+ of infonuation unigss 8 dsahays a vali OMB. canton! namuer
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`DESIGN
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`POWER
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`AEDURE
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`Ag the belownamed inventor, | hereby deckare ine
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`This declaration | The attached apotcatian, or
`aSS
`United Slates appiication or POTinfernational apalication number
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`M4
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`n september 26, 20
`Hed on
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`POTICN204 SOTea?
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`The abave-idantified agglicatiann was mads. or authorized fo be made by me.
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`i believe that } arn the orginal inventory or an original joint inventar of a clairned invention in the application
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`thereby acknowledge that any willie faise siatement made in this decisration is punishable under 18 U.G.C, 1M
`by Sne of imprisonment¢af aot ore than five (3) years, ae bath.
`
`WARNING:
`
`2
`ionerapploant is cautioned to avoid submitting personal information in ducuments filed in 3 patent application thal may
`gS
`nifibute io ideniity theif. Personal information such as social security sumibers, fank aaonunt numbers, ac cred? card numbers
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`earns
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`upp3 pEestion ar an apolication. Hf this type of personal information snekdec in decumenis submitted fo tha USPTC,
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`&
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`stionersiangticants should consider redacting such personal information fom the documents before submiling ther io the
`ISPTO. PaiHanetapaticant is advised that
`the secord of a patent. agalleaton:is available fo the public after nubfcation ofthe
`wtcot
`apatication (uniess a non-publicalion request in comptanns with 37 OFR 4.2743fa) is made in the application) or issuance af 8
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`aferencedin & published appiication or an issued patent {axe . CFR 1.44} Checks and credit card authorization foons
`O-NIS8 subraitied for payment purposes are not retained is the applicationfile and iherefure are not publicly available
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`‘
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`LEGAL NAME OF INVENTOR
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`ONALLEERELLEALLOAAEEADEAEACLEEASEDEAEADAAPPERPOTIPO
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`ARRANARRRRaEROTAtadapAdcddadeatdded,
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`Date (Qotonal)-
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`Signaiure:
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` Inventor:
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`Note: An anpication date shee (PTOVSE/14or equivalant),inclucing naming the entire inventive entity, must accompany this foayi or musthave
`been proviousty fited. Use an additicnal PTOVALAAD formfor aaah additigna! invertor
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`srt and Trademark Cine, LS) Department of Comrise, P.O. Box 3480, Algxarcida. VA 22319-1480, DON
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`THES ADONESS, SEND TG: Camunissioner for Patents, P.O, Box 1453, Alexandria, VA 22373-1488.
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`ifvow nega gsaistance i complnting the fora, cad 1-8BTO-8 189 and select opttun 2,
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`

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