PTO/SB/06 (07-06)
`Approved for use through 1/31/2007. OMB 0651-0032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paoerwork Reduction Act of 1995, no oersons are reouired to resoond to a collection of information unless it disola s a valid OMB control number.
`
`PATENT APPLICATION FEE DETERMINATION RECORD
`Substitute for Form PTO—875
`
`Application or Docket Number
`10/534,713
`
`Fiiing Date
`05/12/2005
`
`I: To be Mailed
`
`OR
`
`OTHER THAN
`SMALL ENTITY
`
`SMALL ENTITY |:I
`RATE ($)
`FEE ($)
`
`N/A
`
`N/A
`
`APPLICATION AS FILED — PART I
`
`0
`
`(Column 1)
`NUMBER FILED
`
`(Column 2)
`NUMBER EXTRA
`
`I:I BASIC FEE
`37CFR1.16a, b,or c
`
`I] SEARCH FEE
`37CFR1.16k, i,or m
`
`I] EXAMINATION FEE
`(37 CFR1.16( ), (p), or (q))
`TOTAL CLAIMS
`37 CFR 1.16 i
`INDEPENDENT CLAIMS
`37 CFR 1.16 h
`
`DAPPLICATION SIZE FEE
`(37 CFR1.16(s))
`
`N/A
`
`N/A
`
`N/A
`
`N/A
`
`N/A
`
`N/A
`
`minus 20 =
`
`minus 3 =
`
`If the Specification and drawings exceed 100
`Sheets of paper, the application Size fee due
`iS $250 ($125 for small entity) for each
`additional 50 Sheets or fraction thereof. See
`35 U.S.C. 41 a 1 G and 37 CFR 1.16 S.
`
`[I MULTIPLE DEPENDENT CLAIM PRESENT (37 CFR1.16(j))
`* If the difference in column 1 is less than zero, enter“0" in column 2.
`
`APPLICATION AS AMENDED — PART II
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`97*
`
`20
`
`3
`
`Minus
`
`Minus
`
`12/12/2008
`
`Total (37 CFR
`1.16 i
`Independent
`37 CFR 1.16 h
`
`El Application Size Fee (37 CFR 1.16(s))
`
`(Column 3)
`
`PRESENT
`
`D FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR1.16(j))
`
`SMALL ENTITY
`
`OR
`
`OTH ER THAN
`SMALL ENTITY
`
`ADDITIONAL
`FEE ($)
`
`RATE ($)
`
`X $
`X 69
`
`II
`
`RATE ($)
`
`$52:
`
`$220:
`
`ADDITIONAL
`FEE ($)
`
`'—
`
`ZwEDZw E<
`
`AMENDMENT
`
`FEE ($)
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`(Column 3)
`
`PRESENT
`EXTRA
`
`RATE ($)
`
`ADDITIONAL
`FEE (3;)
`
`RATE (19)
`
`ADDITIONAL
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`
`- AMENDMENT
`
`1.16i
`
`37CFR1.16h
`
`Minus
`
`Minus
`
`I:I Application Size Fee (37 CFR 1.16(s))
`
`D FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR1.16(j))
`
`XX 6969
`
`XX 6969
`
`OR
`
`OR
`
`TOTAL
`ADD‘L
`FEE
`
`* If the entry in column 1 is less than the entry in column 2, write “0" in column 3.
`** If the “Highest Number Previously Paid For" IN THIS SPACE is less than 20, enter “20".
`*** If 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 1.
`This collection of information is required 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. This collection 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 of 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, US.
`Department of Commerce, PO. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`Legal Instrument Examiner:
`ISONYA R. HILLIARD/
`
`