Doctoration Form 31 (Jan ZGDB)
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`Panasonic Ref": 5
`i” mnflbirfliiimfl
`tst Partner Name: AKlMOTD 8‘ CO. mm» is! Partner Ref: ,,,EANflflgfiflflgli_§__,,_,_,,__
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`Application Serial No.
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`P 837099—01
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`__,,,__,_
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`US Firm Name: SEED IP LAW GROUP LLFJ
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`US Firm Ref:
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`DECLARATION AND POWER OF ATTORNEY FOR U.S. PATENT APPLtCATiON
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`(a) £8] Originai
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`(b) D Supplemental
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`(c) U Substitute
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`(d) U PCT
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`(e) [:3 Design
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`i hereby declare that: my residence. post oftioe address and citizenship are as stated
`As a heiow named inventor,
`below next to my name; and I believe that I am the original, first and sole inventor (if only one name is listed beiow} or an original,
`first and joint inventor (if'piurei inventors are named below) of the subiect matter which is ciairned and for which a patent is
`sought on the invention entitled:
`Title of invention:
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`SOLiD PREPARATION PACKAGING APPARATUS
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`
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`which is described and claimed in {if the following box is not checked the specification of which is attached hereto}:
`I. For me when submitting this Usahrnrrroqpnor
`
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`(f)
`Lil
`the attached specification. or
`
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`2. Forms warrsu’mirririgjhis Deehrrurimaii‘erbis. .7:
`{Marion Fin: Iririie
`
`
`Appiicntion No
`filed on:
`Sep 5 25-12
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`fiffim
`(”m
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`(Cfmci'irere onblfor'Wrai-fliwxrlermy under 35 {EEC 3H}
`and With amendments (if applicable):
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`}
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`[551 the specification in the us.
`Appiicaiion:
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`in)
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`if! the specification in the
`international Application:
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`Appiication No
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`filed on:
`mirror-item;
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`..
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`1 hereby state that I have reviewed and understand the contents of the above—identified specification, including the
`ciaims, as amended by any amendrnent(s) referred to above.
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`i acknowiedge my duty to disclose to the US. Patent and Trademark Office ail information known to me to be materiai
`to patentability as defined in Title 37, Code of Federal Reguiaiions, §1.56.
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`I hereby cieim foreign priority benefits under Title 35, United States Code, §119 (and), §i72, or §385£h3 of any foreign
`apnlication(s) for patent or inventors certificate, or §3€25(s) of any PCT international application which designated at ieast one
`country other than the United States of America. iisted below, and have also identified below any foreign sppiioetion for patent or
`inventors certificate, or of any PCT international appiicetion having a fiiing date before that of the application on which priority is
`claim ed:
`(Hire? n Hindi ' er’urmafitm
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`PRIORH‘Y
`1'
`'
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`1
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`I
`f201.1N'l‘iil‘i’
`ClA lMIJl)
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`201 ‘i -‘t 95443
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`n Additional foreign or international application numbers are listed on a supplemental priority sheet attached hereto.
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`4-
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`

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`Beularaiion Form 3.1 (Jan. 2609}
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`l hereby claim tire benefit under Title :35, United States Code §119(e) of any United States vaiaianal apnficaiinma)
`listed below.
`ram-Nam -'
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`API’LICA'I‘IBN N0.
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`
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`an Additional U.S. provldanal application numbers are listed on a supplemental priority sheet attached herein.
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`1 haraby alaim the benefit under Title 35, United States. Code §12fl of any United States applicaticnta), or §365{C.) of
`any PCT lniernatianai application designating the United States of America, listed halaw and, insafar as the nutrient matter of
`each at the cialma of this applicatidn is not disclnaed In the prior Unitnd States or PCT international apnliaatidn in the manner
`provided by the first paragraph of Title 35. United States Code §112, i acknowledge the. duty to disclose infarmazion material t0
`patentahility as defined in Title 37, Ends of Federal Regulations, §1.56 which assumed baMaen the filing data of the print
`IDWBN'K’ ”My fili'drmalr'nn
`application and the natinnal or PCT internatinnal filing date of this application.
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`
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`POWER OF ATTORNEY: As a named inventor, l haraby anpnint the attorneys and agents associatad with the US. Patent and
`Trademark Office Customer Number identified below in prosecute this application including divisions. confirmations and reissues
`tharaof in the United States and to transact all business in the US. Patent and Trademark Office connected therewith. and direct
`that all carraapondanna he addressed to that customer number.
`
`i hereby authorize the LLB. attorneys and agents assaciatad with the arislnmar number to accapl and fallow instructions
`from Panasonic Carporatinn and any affiliated or subsidiary campany tharedf, received via their carnnrata repmaentalivas and/or
`their foreign patent attorneys or agents, if any. as in any antler: to be taken in the 0.8. Patent and Trademark Uifica regarding
`thin application without direct communication baivraan the [1.8. attorneys or agents and myself.
`
`Power at Attornay given to practitioners assnciatad with. and direct Corraspondanae to:
`CUSTOMER NUMBER
`96896
`
`I further declara that all siaternenla made herein of my own knawladga are true. and that all statements made on
`information and belief are believed to be true; and further that these statemanta were made with the knowiedge that wiltful false
`siatsments and the iika so rrada are punishable by line tar imprisonment, or both. under Section mm of Title 18 of the United
`States Coda, and that such wlilfui false atatemanta may inopardiza the validity of the application or any [23th issuing thereon.
`Invanrnn a
`
`Fuii Name of Sore or First
`srann’ruma
`LAST NAME
`FiRST‘iMAE '
`g
`DATE OF acrinmuna
`inventor
`.
`,[mgq
`\ : .
`IMTSUNO
`Aldnuri
`3'}:
`05 20,2»;
`5b..
`.4
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`ClTl ENSHIF
`Rasldance & Citizenship
`CITY, STATE nr COUNTRY
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`Japan
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`
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`er 666E“
`CITY
`STATE on COUNTRY
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`
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`731 43395
`Japan
`Ehlme
`BIO PANASONIC HEALTHCARE 60., LTD.,
`l.
`213t -1, Minamlgata. Taon-shi
`
`
`LAST NAME
`SIGNATURE
`DATE OF SIGNATURE
`Full Name of
`FIRST NAME
`SAKURAI
`Second Inventnr
`‘1‘ats“a
`., J E
`J" I
`53
`2.3L? ‘
`‘ Raaidanca & Citizenship
`GlTY. STATE nr COUNTRY
`'
`'
`cr ZENSHIP
`
`Gunma, Japan
`Japan
`ADDRESS
`zip cone
`
`M
`
`CIO PANASONIC HEALTHGARE 00., LTD. ,
`Ehlma
`Japan
`79143395
`
`2131-1 Minamt ata Toma-aid
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`m."
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`in Check. if addidnnat p
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`tilt
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`artfs} isr‘ara attached.
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`Total ofwg‘m a
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`s an: submitted.
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`""“r‘SfiTE an counrnv
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`Pest office address
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`Past ofiicé‘éiiEFQéE
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`Gunma, Japan
`ADDRESS
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