PTOISBIOE (09-11)
`Approved for use through 1131/2014. OMB 0651 -0032
`U.S. Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE
`Under the Pa-erwork Reduction Act of 1995, no nersons are re-uired to res-0nd to a collection of information unless it dis-la s a valid OMB control number.
`Application or Docket Number
`Filing Date
`
`—-—-—__
`— NUMBER FILED
`NUMBER EXTRA - RATE 5
`
`FEE $
`
`APPLICATION AS FILED - PART I
`
`ENTITY:
`
`LARGE [:1 SMALL [:1 MICRO
`
`370FR1.16a, b orc
`
`'- EXAMINATION FEE
`3TCFR1.160,
`- .or .
`TOTAL CLAIMS
`(37 CFR1. 16(i))
`INDEPENDENT CLAIMS
`(37 CFR 1. 151m)
`
`NIA
`
`20__
`
`"mus
`
`DAPPLICATION SIZE FEE
`(37 CFR 1.113(5))
`
`If the specification and drawings exceed 100 sheets
`of paper, the application size fee due is $310 ($155
`for small entity) for each additional 50 sheets or
`fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37
`CFR 1.165(5).
`
`[:1 MULTIPLE DEPENDENT CLAIM PRESENT (37 CFR 1.160))
`If the difference in column 1 is less than zero, enter ”0" in column 2.
`
`- TOTAL —
`
`APPLICATION AS AMENDED - PART II
`
`08/23/2017
`
`PRESENT EXTRA
`
`RATE (5)
`
`ADDITIONAL FEE (3)
`
`AMENDMENT
`
`-—-—--—--—-—-——
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`_
`**
`TOTEI
`“mm—m“
`Inde endent
`_
`“HME—I x $420 - _-
`
`TOTAL ADD'L FEE .—
`-—-—--_I-_-_-——
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`
`RATE (5)
`
`ADDITIONAL FEE (3)
`
`PRESENT EXTRA
`
`_
`Total
`m_m_—-——
`Independent
`=
`_m—_-—
`
`D FIRST PRESENTATION OF MULTIPLE DEFENDENT CLAIM (37 CFR 1.160))
`
`-_—
`
`in column 2, write "0" in column 3.
`in column 1 is less than the ent
`‘ If the ent
`** If the "Hi-hest Number Previousl Paid For" IN THIS SPACE is less than 20, enter "20".
`‘“ If the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3'.
`eapproprlae OX In coumn
`e 'Ig ES ‘um-er 'I'eVIOUSy 'Ial
`or
`03 Of' n-nepenen IS
`e lg 85 num-er OUI’II In
`This collection of information is required by 37 CFR 1.15. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to
`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 upon the individual case. Any comments on the amount of time you
`require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, US Patent and Trademark Office, U.S.
`Department of Commerce, PO. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`Ifyau need assi'lsfance [In comp/efihg the form, call 1-800—1’7'0—91.99 and select apfion 2
`
`LIE
`Linda A Washington
`
`