PTO/SB/06 (07-06)
`Approved for use through 1/31/2007. 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 respond to a collection of information unless it displays a valid OMB control number.
`
`The “Highest Number Previously Paid For’ (Total or Independent) is the highest numberfound in the appropriate box in column 1.
`
`OR
`
`OTHER THAN
`SMALL ENTITY
`
`(Column 2)
`
`SMALL ENTITY []
`RATE
`FEE ($)
`N/A
`
`N/A
`
`[APPLICATIONSIZE FEE
`(7 CFR.1 168)
`‘
`
`If the specification and drawings exceed 100
`sheets of paper, the application size fee due
`is $250 ($125 for small entity) for each
`additional 50 sheets or fraction thereof. See
`35 U.S.C. 41(a)(1)(G) and 37 CFR 1.16(s).
`
`[_] MULTIPLE DEPENDENTCLAIM PRESENT(37 CFR 1,16(j)
`* If the difference in column 1 is less than zero, enter “O” in column 2.
`
`APPLICATION AS AMENDED — PARTII
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`*
`
`+
`
`:
`
`.
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`a
`
`vee
`
`11/08/2012
`
`Total (37 CFR
`
`Independent
`
`(Column 3)
`
`PRESENT
`EXTRA
`
`LC] Application Size Fee (837 CFR 1.16(s))
`
`Cc FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`SMALL ENTITY
`
`OR
`
`SMALL ENTITY
`
`OTHER THAN
`
`ADDITIONAL
`FEE ($)
`
`ADDITIONAL
`FEE ($)
`
`oa
`
`ZL
`
`u =aZL
`
`u =<
`
`x
`
`(Column 1)
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`(Column 3)
`
`ADDITIONAL
`FEE ($)
`
`ADDITIONAL
`FEE ($)
`
`1.16(i
`
`37 CFR 1.16(h
`
`[_] Application Size Fee (37 CFR 1.16(s))
`
`CT FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`AMENDMENT
`
`* If the entry in column1 is less than the entry in column 2, write “O” in column 3.
`** If the “Highest NumberPreviously Paid For” IN THIS SPACEis less than 20, enter “20”.
`*** If the “Highest Number Previously Paid For’ IN THIS SPACEis less than 3, enter “3”.
`
`Legal Instrument Examiner:
`/CURTIS NELLOMS JB/
`,
`
`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 tofile (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 upontheindividual 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. Patent and TrademarkOffice, 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.
`
`PATENT APPLICATION FEE DETERMINATION RECORDJ“plication or Docket Number Filing Date
`
`Substitute for Form PTO-875 06/24/2010|LC] Tobe Mailed12/810,391
`
`
`
`APPLICATION AS FILED — PART|
`(Column 1)
`RUNGER FLED
`N/A
`
`(b), or
`
`(¢
`
`(m
`
`N/A
`
`NWA
`
`j
`minus 20 =
`
`.
`
`L] Basic FEE
`37 GFR 1.16(a),
`[1 SEARCH FEE
`37 GFR 1.16(k),
`(i), or
`oO EXAMINATION FEE
`(37 CFR 1.16(0), (p), or (q))
`TOTAL CLAIMS
`37 CFR 1.16(i
`INDEPENDENT CLAIMS
`37 CFR1.16(h
`
`