`
`REGISTERED PRACTITIONERS
`
`14/3 62,602
`
`June 4, 2014
`
`Noriyoshi TERASHIMA
`
`LIQUID SAMPLE MEASUREMENT DEVICE
`WITH REMOVABLE LANCET OR
`
`BIO SENSOR
`
`SIGNATURE of Applicant or Patent Practitioner
`
`2018-1802
`
`
`
`NOTE: This form is to be submitted with the Power of Attorney by Applicant form (PTO/AIA/82B or equivalent) to
`identify the application to which the Power of Attorney is directed, in accordance with 37 CFR 1.5. If the Power of
`Attorney by Applicant form is not accompanied by this transmittal form or an equivalent, the Power of Attorney will not be
`reco ; 'zed in the a. ulication.
`
`Total of 1 forms are submitted.
`
`Application Number
`
`Filing Date
`
`First Named Inventor
`
`Title
`
`Art Unit
`
`Examiner Name
`
`Attorney Docket Number
`
`I‘.
`
`Jeffreympek
`
`(202mm
`
`Registration
`.
`.
`Number
`
`41,471
`
`NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4(d) for signature requirements and
`certifications.
`
`
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