PTO/SB/47 (03-09)
`Approved for use through 03/31/2012, OMB 0651-0016
`U.S. Patent and Trademark Office; U. S. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no personsare required to respond to a collection of information unlessit displays a valid OMB control number.
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`Mail Stop M Correspondence
`| Commissioner for Patents
`P.O. Box 1450
`+ Alexandria, VA 22313-1450
`
`In addition,
`INSTRUCTIONS: Theissue fee must have beenpaid for application(s) listed on this form.
`only an address represented by a Customer Number can be established as the fee address for maintenance
`fee purposes (hereafter, fee address). A fee address should be established when correspondence related to
`maintenance fees should be mailedto a different address than the correspondence addressfor the application.
`When to check thefirst box below: If you have a Customer Numberto represent the fee address. When
`to check the second box below:If you have no Customer Numberrepresenting the desired fee address,
`in which case a completed Request for Customer Number (PTO/SB/125) must beattached to this form. For
`more information on Customer Numbers, see the Manual of Patent Examining Procedure (MPEP) § 403.
`
`“FEEADDRESS” INDICATION FORM~ Addressto:
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`1.363 the address associated with:
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`For the following listed application(s), please recognize as the “Fee Address” under the provisions of 37 CFR
`| C Customer Number: 2291 3 —_
`
`OR
`
`[ The attached Request for Customer Number (PTO/SB/125) form.
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`(PATENTNUMBER “APPLICATIONNUMBER—_fifknown)AOaennneteterrainsainantreeereaninananea
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`6061551
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`se
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`antanninenna
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`Completed by (check one):
`L| Applicant/Inventor
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`Attorney or Agentof record _28651
`(Reg. No.)
`| Assignee of recordof the entire interest. See 37 CFR 3.71.
`Statement under 37 CFR 3.73(b) is enclosed.
`(Form PTO/SB/96)
`LJ Assignee recorded at Reel
`
`Frame
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`_
`Rick D. Nydegger
`Typed or printed name
`801-533-9800
`—
`Requester’s telephone number
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`B\9-i2
`
`Date
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`seneeeneeneneniein
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`NOTE:Signaturesofall the inventors or assigneesof record of the entire interest ortheir representative(s) are required. Submit multiple formsif more that one
`signature is required, see below’.
`* Total of
`forms are submitted.
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`
`
`
`
`which is to file Gand by the USPTO
`This ctliecton of information is required by 37 GFR 1.963. The information is required to obiain ar retains a benefit by the pu
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`ted to take $ minutes to camplete,
`te process) an apolication. Cantidentialiy is governed by 35 U.0. 122 and 37 GER Tit and t.44. This collection is satima
`including gathering, oreparing, and submifling the completed application form to the USPTO, Time will vary depenciing upon the individual case, Any comments on
`the amnounter ding you require to complete this formand/or suggestions for reducing this burden, should be sent ts. the Chief informaiton Officer, 2.8, Patent and
`Trademark Office, U3. Separ iment of Gammarce, P.O, Box 1480, Alex andiia, VA 22349. 1480. DO NOT SEND COMPLETE 5 FORMS TO THIS A DDORESS.
`SEND TO: Mall Sion M Correspondence, Commissionar for Patents, P.O, Box 1450, Alexandsia, VA 22343-1450.
`if you need assistance in campleting the form, call 7-800-PTO- 199 and select option 2.
`
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