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CATIONFEE DETERMINATION RECORD
`Effective December 8, 2004
`
`PATENT APPLI
`
`)
`
`
`CLAIMS AS FILED - PART|
`
`.
`
`(Column 1)
`
`(Column 2)
`
`SMALL ENTITY
`
`OR
`
`LARGE ENTITY
`
`RATE
`
`Oa m m
`
`OR BASIC FEE.
`
`US. NATIONAL STAGE FEES |a $ 4m-
`
`EXAM. FEE
`
`
`
`
`
`JEXAM. FEE 8
`RIs
`8
`
`SEARCH FEE
`
`X$ 2505
`
`OR] X$50=
`
`
` MULTIPLE DEPENDENTCLAIM PRESENT
`:
`* Ifthe difference in column tis fess than zero, enter "0"in column2
`
`GLAIMS AS AMENDED- PARTH
`“ (Column 1)
`.
`(Column 2)
`:
`Colurnn 3)
`{
`
`
`
`CLAIMS °
`HIGHEST
`
`REMAINING
`‘NUMBER
`
`
`
`PRESENT .
`
`
`AFTER
`PREVIOUSLY
`
`
`
`AMENDMENT
`PAID FOR
`'
`
`AMENDMENTA’
`
`-
`SMALLENTITY
`
`OR] X$200-=
`
`oO A
`
`4o > Cr
`
`2
`
`=~
`
`OTHER THAN
`OR . SMALL ENTITY
`
`
`
`on[xs0=|
`
`OR
`
`TOTAL ADDIT.
`FEE
`
`
`
`
`
`AMENDMENT P| PAIDFOR
`
`CLAMS
`HIGHEST
`REMAINING
`
`
`NUMBER
`
`
`“PREVIOUSLY
`AFTER
`
`
`
` onl xo
`=P
`
`
`
`
`
`
`
`
`Le
`
`
`
`OR X $ 200 =
`
`
`
`
`AMENDMENTB
`
`FIRST PRESENTATION OF MULTIPLE DEPE
`
`a7
`
`is less than the entry in column 2, write "0" in column 3,
`if the entry In column
`iW the "Highest Number Previously Pald For" IN THIS SPACEIs less than ‘20°, enter "20°,
`.
`.
`*** the "Highest Number Previously Paid For" IN THIS SPAGEis less than'3', enter "3".
`The "Highest Numbef Previously Paid For" (Totalor Independent) Is the highest number found in the appropriate box in column 1.
`IRM PTO-876
`(Rev. 02/2005)
`-
`.
`ce
`7
`Dalantanir..:i.....
`
`TOTAL ADDIT.
`OR» 7
`
`

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