PTO/AlAI80 (07-12)
`Approved for use through 11/30/2014. OMB 0651-0035
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
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`37 CFR 3.73 C.
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`I hereby appoint:
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`IX] Practitioners associated with the Customer Number:
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`OR
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`B Practitioner(s) named below (if more than ten patent practitioners are to be named, then a customer number n1ust be used):
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`26161
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`Name Registration
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`D “ ‘ Name Registratio
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`Number
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`as attorney(s) or agent(s) to represent the undersigned before the United States Patent and Trademark Office (USPTO) in connection with
`any and all patent applications assigned gply to the undersigned according to the USPTO assignment records or assignment documents
`attached to this form in accordance with 37 CFR 3.7§§g).
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`Please change the correspondence address for the application identified in the attached statement under 37 CFR 3.73(c) to:
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`Q The address associated with Customer Number:
`OR
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`26161
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`I:] Firm or
`individual Name
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`Address
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`City
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`Country
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`Telephone
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`Assignee Name and Address:
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`iCeutica Pty Ltd.
`Unit 2. 32 Mumford Place
`Balcatta WA 6021
`AUSTRALIA
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`A copy of this form, together with a statement under 37 CFR 3.73(c) (Form PTO/SBl96 or equivalent) is required to be
`filed in each application in which this form is used. The statement under 37 CFR 3.73(c) may be completed by one of
`the practitioners appointed in this form, and must identify the application in which this Power of Attorney is to be filed.
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`The ind‘
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`a
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`Signature
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`SIGNATURE of Assignee of Record
`ose signature and title is supplied below is authorized to act on behalf ofthe assignee
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`Date A
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`Telephone Q!/'0 15 3/? " 5'52
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`This collection of information is required by 37 CFR 1.31, 1.32 and 1.33. 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 USC. 122 and 37 OF R 1.11 and 1.14. This collection is estimated to take 3 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.O. Box 1450, Alexandria, VA 22313-1450.
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`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
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`PTO/AIA/96 (08-12)
`Approved for use through 01/31/2013. OMB 0651-0031
`U.S. 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.
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`STATEMENT UNDER 37 CFR 3.73(c[
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`Applicant/Patent Owner:
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`iCeutica Pty Ltd.
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`Application No./Patent No.:
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`Filed/Issue Date:
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`Titled: A NOVEL FORMULATION OF DICLOFENAC
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`ICEUTICA PTY LTD.
`(Name of Assignee)
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`, a corporation
`(Type of Assignee, e.g., corporation, partnership, university, government agency, etc.)
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`states that, for the patent application/patent identified above, it is (choose 1 of the option 1, 2, 3 or 4 below):
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`1.
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`lz The assignee of the entire right, title, and interest.
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`2. El An assignee of less than the entire right, title and interest (check applicable box):
`CI
`The extent (by percentage) of its ownership interest is
`. Additional Statement(s) by the owners holding the
`balance of the interest must be submitted to account for 100% of the ownership interest.
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`There are unspecified percentages of ownership. The other parties, including inventors, who together own the entire
`El
`right, title and interest are:
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`Additional Statement(s) by the owner(s) holding the balance of the interest must be submitted to account for the entire
`right, title, and interest.
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`3. CI The assignee of an undivided interest in the entirety (a complete assignment from one of the joint inventors was made).
`The other parties, including inventors, who together own the entire right, title, and interest are:
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`Additional Statement(s) by the owner(s) holding the balance of the interest must be submitted to account for the entire
`right, title, and interest.
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`4. CI The recipient, via a court proceeding or the like (e.g., bankruptcy, probate), of an undivided interest in the entirety (a
`complete transfer of ownership interest was made). The certified document(s) showing the transfer is attached.
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`The interest identified in option 1, 2 or 3 above (not option 4) is evidenced by either (choose 1 of the options A or B below):
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`A.
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`lz An assignment from the inventor(s) of the patent application/patent identified above. The assignment was recorded in
`the United States Patent and Trademark Office at Reel 030912, Frame 0407, 0145, 0290, orfor which a copy
`thereof is attached.
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`B. El A chain of title from the inventor(s), ofthe patent application/patent identified above, to the current assignee as follows:
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`1. From:
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`2. From:
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`To:
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`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
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`, Frame
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`, or for which a copy thereof is attached.
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`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
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`, Frame
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`, or for which a copy thereof is attached.
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`To:
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`[Page 1 of 2]
`This collection of information is required by 37 CFR 3.73(b). 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 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, 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:
`Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`PTO/AIA/96 (08-129)
`Approved for use through 01/31/2013. OMB 0651-0031
`U.S. 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.
`
`STATEMENT UNDER 37 CFR 3.73(c[
`
`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
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`, Frame
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`, or for which a copy thereof is attached.
`
`To:
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`To:
`
`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
`
`, Frame
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`, or for which a copy thereof is attached.
`
`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
`
`, Frame
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`, or for which a copy thereof is attached.
`
`To:
`
`The document was recorded in the United States Patent and Trademark Office at
`
`Reel
`
`, Frame
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`, or for which a copy thereof is attached.
`
`To:
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`El Additional documents in the chain of title are listed on a supplemental sheet(s).
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`E As required by 37 CFR 3.73(c)(1)(i), the documentary evidence ofthe chain of title from the original owner to the
`assignee was, or concurrently is being, submitted for recordation pursuant to 37 CFR 3.11.
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`[NOTE: A separate copy (i.e., a true copy of the original assignment document(s)) must be submitted to Assignment
`Division in accordance with 37 CFR Part 3, to record the assignment in the records of the USPTO. 1 MPEP 302.08]
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`The undersigned (whose title is supplied below) is authorized to act on behalf of the assignee.
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`/Anita L. Meiklejohnl
`Signature
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`Anita L. Meiklejohn, Ph.D.
`Printed or Typed Name
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`29 January 2014
`Date
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`35,283
`Title or Registration Number
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`[Page 2 of 2]