PTO/SB/O6 (09-11)
`Approved for use through 1/31/2014. OMB 0651-0032
`U.8. Patent and Trademark Office; U.8. DEPARTMENT OF COMMERCE
`Under the Paerwork Reduction Act of 1995 no ersons are re UIred to resond to a collection of information unless it disla s a valid OMB control number.
`Application or Docket Number
`Filing Date
`
`APPLICATION AS FILED - PART I
`
`ENTITY:
`
`LARGE D SMALL D MICRO
`
`___-___
`NUMBER FILED
`NUMBER EXTRA - RATE 3;
`N/A
`N/A
`
`I BASIC FEE
`37CFR1.16a, b,or c
`I SEARCH FEE
`37CFRI. 16k, i or m
`I EXAMINATION FEE
`37CFR1.16o,
`c or -
`
`FEE S
`
`DSEELI$EION SIZE FEE (37
`-
`(5))
`
`D MULTIPLE DEPENDENT CLAIM PRESENT I37 CEEI I-IeII'II __—
`* If the difference in column 1
`is less than zero, enter "0" in column 2.
`- TOTAL —
`
`APPLICATION AS AMENDED - PART II
`
`___-m—-—-——
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`
`PRESENT EXTRA
`
`RATE ($)
`
`ADDITIONAL FEE ($)
`
`-
`|
`T t
`"___-_—
`Id
`d“”t
`“___-_—
`D Application Size Fee (37 CFR 1. 16s
`CI FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR
`1.16(j ))
`
`AMENDMENT
`
`_—
`-———— ICqumnsI __—
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`
`RATE ($)
`
`ADDITIONAL FEE ($)
`
`PRESENT EXTRA
`
`AMENDMENT
`
`-
`Total
`"___-_—
`Inde endent
`“___-_—
`
`__—
`
`Cl Application SIze Eee (37 CERI IeIs
`. FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM (37 CFR
`1.16(j ))
`
`TOTAL CLAi|)MS—-_—
`INDEPENDENT CLAIMS
`.
`_
`WWW.» ——-_—
`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 1.16(s).
`
`
`
`TOTAL ADD‘ L FEE
`
`in column 2, write "0" in column 3.
`is less than the entr
`in column 1
`* If the entr
`** If the "Hihest 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
`The "Highest Number Previously Paid For" (Total or Independent) is the highest number found in the appropriate box'In column 1.
`This collection of information is required by 37 CFR 1.16. 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, US.
`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.0. Box 1450, Alexandria, VA 22313-1450.
`/fy0u need assfis/ance in camp/9mg the form, ca// 7-800-P7'0—97.9.9 and se/ec/ opt/an 2.
`
`LE
`NAN ESSA D HODGES/
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