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
`Under the Paperwork Reduction Act of 1995, no personsare required to respondto a collection of information unlessit displays a valid OMB contro] number.
`
`“FEE ADDRESS”INDICATION FORM
`
`Addressto:
`Mail Stop M Correspondence
`Commissionerfor Patents
`P.O. Box 1450
`Alexandria, VA 22313-1450
`
`Fax to:
`571-273-6500
`
`Forthe followinglisted application(s), please recognize as the "Fee Address” underthe provisions of 37 CFR
`1.363 the address associated with:
`
`[J Customer Number: 229 1 3
`
`OR
`
`[| The attached Request for Customer Number (PTO/SB/125) form.
`
`PATENT NUMBER
`(if known)
`
`;
`
`APPLICATION NUMBER
`
`6061551
`
`In addition,
`INSTRUCTIONS: The issue fee must have beenpaid for application(s) listed on this form.
`only an address represented by a Customer Numbercan be established as the fee address for maintenance
`fee purposes (hereafter, fee address). A fee address should be established when correspondencerelated to
`maintenance fees should be mailed to a different address than the correspondence addressfor the application.
`Whento 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 be attachedto this form. For
`moreinformation on Customer Numbers, see the Manual of Patent Examining Procedure (MPEP) § 403.
`
`forms are submitted.
`
`Completed by (check one):
`L| Applicant/Inventor —
`
`Signgfdfe
`
`Attorney or Agent of record _28651
`(Reg. No.)
`[| Assignee of record of the entire interest. See 37 CFR 3.71.
`Statement under 37 CFR 3.73(b) is enclosed.
`(Form PTO/SB/96)
`LI Assignee recorded at Reel
`Frame
`
`Rick D. Nydegger
`Typed or printed name
`801-533-9800
`Requester’s telephone number
`L [Sy \ZDate
`
`NOTE:Signatures ofall the inventors or assignees of record ofthe entire interestor their representative(s) are required. Submit multiple forms if more that one
`signature is required, see below’.
`| * Total of
`This collection ofinformation is required by 37 CFR 1.363, 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 colle ction is estima ted to take 5 minutes to complete,
`including gathering, preparing, and submitting the completed application form to the USPTO,Timewill vary depending upontheindividual case. Any comments on
`the amountof 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. Depar tment of Commerce, P.O. Box 1450, Alex andria, VA 22313- 1450. DO NOT SEND COMPLETE D FORMSTO THIS A DDRESS.
`SEND TO: Mail Stop M Correspondence, Commissionerfor 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.
`
`