`
`PTO/SB/01 (10-05)
`Approved for use through 07/31/2006. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unlessit contains a valid OMB control number.
`Attorney Docket
`DECLARATIONFORUTILITY OR
`Number
`3133U.005
`
`DESIGN
`First Named Inventor
`~—|QKAMOTO, Yasutoshi
`
`PATENT APPLICATION
`COMPLETE IF KNOWN
`
`(37 CFR 1.63)
`
`Application Number
`
`
`Filing Date
`
`-
`Art Unit
`_
`Examiner Name
`
`Declaration
`Submitted
`With Initial
`Filing
`
`OR
`
`Declaration
`Submittedafter Initial
`Filing (surcharge
`(37 CFR 1.16 (e))
`required)
`
`| hereby declare that:
`
`
`
`Eachinventor’s residence, mailing address, and citizenship are as stated below next to their name.
`
`
`
` | believe the inventor(s) named below tobethe original andfirst inventor(s) of the subject matter which is claimed and for
`
`
`which a patent is sought on the invention entitled:
`AUTOMATIC TABLET PACKING MACHINE
`
`
`
`
`
`
`
`(Title of the Invention)
`the specification of which
`
`
`
`CJ
`is attached hereto
` OR
`
`
`LI
`wasfiled on (MM/DD/YYYY)| as United States Application Number or PCT International
`Application Number fd and was amended on (MM/DD/YYYY) ; (ifapplicable).
`
`
`including for
`| acknowledge the duty to disclose information which is material to patentability as defined in 37 CFR 1.56,
`continuation-in-part applications, material information which becameavailable between thefiling date of the prior application
`
`
`and the national or PCT internationalfiling date of the continuation-in-part application.
`
`| hereby claim foreign priority benefits under 35 U.S.C. 119(a}-(d) or(f), or 365(b) of any foreign application(s) for patent,
`
`
`
`inventor's or plant breeder's rights certificate(s), or 365(a) of any PCT international application which designated at least one
`country other than the United States of America,listed below and havealsoidentified below, by checking the box, any foreign
`application for patent, inventor's or plant breeder’s rights certificate(s), or any PCT international application havinga filing date
`
`
`before that of the application on whichpriority is claimed.
`
`Prior Foreign Application country|Foreign Filing Date Certified Copy Attached?
`
`
`
`2006-021525 08/11/2006[|Japan [_]
`
`CJ
`LI
`LJ
`C]
`UO
`CG
`
`|
`Lf)
`©
`
`Additional foreign application numbersare listed on a supplementalpriority data sheet PTO/SB/02B attached hereto.
`[Page 1 of 2]
`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 whichis 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 24
`minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Timewill vary depending upon the individual
`case. Any comments on the amountof time you require to complete this form and/or suggestionsfor reducing this burden, should be sent to the Chief Information
`Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED
`FORMS TO THIS ADDRESS. SEND TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`if you need assistance completing the form, call 1-800-PTO-9199 andselectoption 2.
`
`| hereby state that | have reviewed and understand the contents of the aboveidentified specification, including the claims, as
`amended by any amendmentspecifically referred to above.
`
`Numberfs)
`
`Country
`
`(MM/DDIYYYY)
`
`Not Claimed
`
`YES
`
`NO
`
`
`
`[|
`
`

`

`
`
`AK EMOTOSLCO
`
`Fax:8B13+3475-+0965
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`| 0 .
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`a
`
`beniting personal informationin documentsfiledj a patentapplicationthat.may ,
`
`; such 83 social’ security: numbers,” bank ‘account: humbers; or credit card
`oi
`horization forthPTO-2038 submittedforpaymentpurposes)is fever required by |
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`Coiiplidrice with37 CFR1.213(a)Isiiadeintheapplication)"
`or-isguance ofapatent Furthermors, tha record from an abandoned application mayalso be available to the public if the
`| application is referencedina published application oran issued patent (see 37 CFR 1.14).
`ok
`authorization forms PTO-2038 submitted for(payment purposesarenotretained inthie‘applicationfle ari
`pupiien=available.
`| hereby declare that all statements mede herein of my own knowledge aretrue and that ail statementsmade on information
`lief
`are believedto be true; and: further that these statements were made with the knowledge that willful false
`| statements:‘andthelike-s6, tide are punishabie-by fineorimprisonment; orboth, under18°U.S.C,-4001 and that:such:swillfiat-
`false statementsmay,jeopardizethevachyofthe» aoplicationor any patentissuedthereon.
`:
`FNAME‘OFSOLEORFIRSTINVENTOR:_. ; rae
`
`_Yasutoshi
`inventor's Signature:
`
`YecutoshiObese
`
`

`

`aK IMOTOSCO
`
`Fax:@19+3475+0965 —
`
`
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`2007% 2A GACKI
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`112717
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