Panasonic Healthcare Holdings Ref:
`1st Partner Name:
`l§ §HlKl & cg. _
`Route: DPCT/ ElPan‘s/ DUS First
`EiCA/ UDIV/ EiClP/ IBypass
`
`P1000059U891
`
`Page 1 of 2
`ist Partner Ref (if needed):
`ZQSQPQTQS
`
`PTO/AiNm (06-12)
`Approved for use through 01/31/2014. OMB 0651-0032
`U. 5. Patent and Trademark Office; U. S. 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.
`
`L DECLARATION (37 CFR 1.63) FOR UTILITY 0R DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR ‘l .76)
`
`Invention
`
`ULTRA—LOW TEMPERATURE FREEZER
`
`As the below named inventor, I hereby declare that:
`
`This declaration E The attached application, or
`is directed to:
`
`[:1 United States application or PCT intemationai application number
`
`filed on
`
` ““9 °f
`
`The above-identified application was made or authorized to be made by me.
`
`I believe that I am the original inventor or an original joint inventor of a claimed invention in the application.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years. or both.
`
`WARNING:
`
`Petitioner/applicant is motioned 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. 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 if 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:
`
`YOShihii‘O TAKAHASHI
`
`Date (Optional):
`
`[79¢ - 2'7 I 20/7
`
`Signature:
`
`YUJ‘iixhii/o
`
`2!: Q AIM/0;
`
`Note: An application data sheet (PTO/SBI14 or eq uivalent). including naming the entire inventive entity, must accompany this form.
`Use an additional PTO/AiA/01 form for each additional inventor.
`
`This collection at iniormation is required by 35 U.S.C. 115 and 37 CFR 1.63. 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 ls governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 1 minute to
`complete. Including gathering. preparing. and submitting the completed application form to the USPTO. Time will vary depending upon the indiu’dual case. Any
`comments on the amount oi 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.
`ifyou need assistance in completing the (can. call 1-800~PT09199 and select option 2.
`
`

`

`Panasonic Healthcare Holdings Ref:
`ist Partner Name:
`i§Sllel & 99.
`Route: DPCT/ EIPan'sl DUS First
`DCA/ DDiV/ DCIP/ IBypass
`
`P100005§U801
`
`Page 2 of 2
`1st Partner Ref (if needed):
`2939PCTU§
`
`PTO/AWN (06-12)
`Approved for use through 01/31/2014. OMB 0651-0032
`U. 8. Patent and Trademark Office; U. 3. 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.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`““9 °f
`invention
`
`ULTRA-LOW TEMPERATURE FREEZER
`
`As the below named inventor, l hereby declare that:
`
`This declaration E The attached application. or
`is directed to:
`
`C] United States application or PCT international application number
`
`tiled on
`
`The above-identified application was made or authorized to be made by me.
`
`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 U.S.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 PTO-2038 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 if 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:
`
`Takashi ARAI
`
`Date (Optional):
`
`795C r 2—7 , JO [ 7
`
`Signature:
`
`41
`
`441
`
`t
`
`Note: An application data sheet (PTO/SB/H or equivalent). including naming the entire inventive entity. must accompany this form.
`Use an additional PTO/AlA/Oi form for each additional inventor:
`
`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. 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 1.11 and 1.14. This collection is estimated to take 1 minute 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 1460, Alexandria, VA 22313-1450.
`Ifyou need assistance in completing the Iomr, car 1-800-PTO~9199 and select option 2.
`
`