Filing Date:
`
`03/26/09
`
`PTO/SB/06 (12-04)
`Approvedfor use through 7/31/2006. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respondto a collection of information unlessit displays a valid OMB control number.
`PATENTAPPLICATION FEE DETERMINATION RECORD
`Application or Docket Number
`Substitute for Form PTO-875
`12/411,903
`
`.
`
`APPLICATION AS FILED — PART|
`(Column 1)
`
`(Column 2)
`
`SMALL ENTITY
`
`BASIC FEE
`
`SEARCH FEE
`
`:
`EXAMINATION FEE
`
`TOTAL CLAIMS
`(37 CFR 1.16(i))
`INDEPENDENT CLAIMS
`(37 CFR 1.16(h))
`
`APPLICATION SIZE
`FEE
`(37 CFR 1.16(s))
`
`NUMBERFILED
`
`NUMBER EXTRA
`
`RATE(8)
`
`FEE ($)
`
`WA
`
`i
`
`N/A
`
`If the specification and drawings exceed 100
`sheets of paper, the application size fee due is
`$270 ($135 for smail entity) for each additiona!
`50 sheets orfraction thereof. See
`
`MULTIPLE DEPENDENTCLAIM PRESENT(37 CFR1.16(j))
`
`OTHER THAN
`SMALL ENTITY
`
`RATE($)
`N/A
`
`N/A
`
`N/A
`
`390
`
`
`
`* If the difference in column1is less than zero, enter "0"in column 2. TOTAL
`
`APPLICATION AS AMENDED- PARTII
`(Column 1)
`(Column2)
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`AMENDMENT
`
`(Column 3)
`
`:
`
`Total
`(37 CFR 1.16(i))
`Independent
`(37 CFR 1.16(h))
`Application Size Fee (37 CFR 1.16(s))
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16()))
`
`OTHER THAN
`SMALL ENTITY
`
`TOTAL
`ADD'T FEE
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`
`(Column 3)
`
`RATE($)
`
`PAID FOR
`
`AMENDMENTB
`
` AMENDMENTA
`
`35 U.S.C. 41(a)(1)(G) and 37 CFR FEE(8)
`
`Total
`(37 CFR 1.16(i))
`Independent
`(37 CFR 1.16(h))
`Application Size Fee (37 CFR 1.16(s))
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`Po
`
`TOTAL
`ADD'T FEE
`
`TOTAL
`R- ADD'T FEE
`
`*
`**
`***
`
`Ifthe entry in column 1 is less than the entry in column 2, write “0” in column 3.
`Ifthe “Highest Number Previously Paid For’ IN THIS SPACEis less than 20, enter “20”.
`Ifthe “Highest Number Previously Paid For” IN THIS SPACEis less than 3, enter “3”.
`The “Highest NumberPreviously Paid For’ (Total or Independent) is the highest number found in the appropriate boxin column1.
`This collection of information is required by 37 CFR 1.16. The information is required to obtain or retain a benefit by the public whichis to file (and by the
`USPTOto 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 uponthe individual case. Any comments
`on the amountof time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Pater’
`and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTO THIS
`ADDRESS.
`SEND TO: Commissionerfor 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.
`
`