PTO/AIN01 (06-12)
`Approved for use through 01/31/2014. OMB 0651-0032
`U.S. Patent and Trademark Office; US, DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of1995. no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Title of
`Invention
`
`BINARY REFRIGERATING APPARATUS
`
`As the below named inventor, I hereby declare that:
`
`This declaration E] The attached application, or
`is directed to:
`
`
`
`United States application or PCT international application number
`filed on
`09/28/2015
`.
`
`14/868,384
`
`The aboveidentified application was made or authorized to be made by me.
`
`i believe that I am the original inventor or an originaljoint inventor of a claimed invention in the application.
`
`l hereby acknowledge that any willful false statement made in this declaration is punishable under 18 US. C. 1001
`by fine or imprisonment of not more than five (5) years. or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers
`(other than a check or credit card authorization form PT02038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an application. if this type of personal information is included in documents submitted to the USPTO,
`petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non—publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
`patent, Furthermore, the record from an abandoned application may also be available to the public ifthe application is
`referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
`PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`inventor:
`
`TakashiTOYOOKA
`
`Date (Optional):
`
`(2C3:
`
`25 ,Wlfi/f'
`
`Signature:
`
`Note: An application data sheet (PTO/SB/M or equivalent), Including naming the entire inventive entity, must accompany this form or
`must have been previously filed. Use an additional PTO/AINOl form for each additional inventor.
`
`DM_US 64363516-10500020036
`
`
`
`

`

`PTO/AlA/Ol (06—12)
`Approved for use through 01/31/2014 OMB 0651-0032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act oi 1995, no persons are required to respond to a collection of importation unless it displays a valid OMB control number,
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Invention
`
`BINARY REFRIGERATING JAPPARATUS
`
`As the below named inventor, I hereby declare that:
`
`This declaration D The attached application, or
`is directed to:
`
`w M
`
`United States application or PCT International application number
`tiled on
`09/28/2015
`A
`
`14/868,384
`
` Title of
`
`The aboveidentified application was made or authorized to be made by met
`
`i believe that i am the original inventor or an original joint inventor of a claimed invention in the application.
`
`l hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U50 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft, Personal information such as social security numbers bank account numbers, or credit card numbers
`(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an application. lf this type of personal information is included in documents submitted to the USPTO.
`petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`USPTO, Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non-publication request in compliance with 37 OFR 1.213(a) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned application may also be available to the public it the application is
`referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
`PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`.
`Inventor:
`Jtro YUZAWA
`Signature: Jig/3”" %l%{uérv
`
`/
`Date (Optional) 4 0 C I", Z 75 £0 {5
`
`
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity. must accompany this form or
`must have been previously filed. Use an additional PTO/AINOt form for each additional inventor,
`
`DM-US 64363516-10500020036
`
`