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Doc Code: PA.
`Document Description Power ol‘Aitorncy
`
`PTO/AlA/BZA (07-12)
`Approved for use through 11/30/2014. OMB 0651-0035
`US. Patent and Trademark Office; US. 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,
`
`TRANSMITTAL FOR POWER OF ATTORNEY TO ONE OR MORE
`REGISTERED PRACTITIONERS
`
`NOTE: This form is to be submitted with the Power of Attorney by Applicant form (PTO/AIA/SZB or equivalent) to identify the
`application to which the Power of Attorney is directed, in accordance with 37 CFR 15 it the Power of Attorney by Applicant form
`is not accompanied by this transmittal form or an equivalent, the Power of Attorney will not be recognized in the application.
`
`
`Application Number
`Not Yet Assigned
`
`
`Filing Date
`July 23, 2014
`
`
`First Named inventor
`Takaomi FUKUHARA
`T
`
`METHOD AND SYSTEM FOR DIAGNOSING ALZHEIMER'S DISEASE
`Title
`
`
`
`
`Art Unit N/A
`
`
`
`
`
`Examiner Name
`
`Not Yet Assigned
`
`Attorney Docket Number
`
`061352—0530
`
`l
`
`- /Michael E. Fogarty/
`
`Sinature
`
`I
`
`'
`
`I - July 23, 2014
`
`Date
`
`SIGNATURE
`
`'A p want or Patent Practitioner
`
`Name
`
`Michael E. Fogarty
`
`,
`
`(202) 756—8372
`
`Re-istrat‘on Number
`
`NOTE: This form must be signed in accordance with 37 CFFMEIS. See 37 CFR 1.4(d) for signature requirements and certifications.
`
`
`
`forms are submitted.
`
`

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