adh dD AYE JUV A JUIN AL, Lt’
`Y USL ONLY
`A tae
` es NOT get mailed to theapplicant.
`
`“NOTICEOF FILING / CLAIM FEE(S) DUE
`(CALCULATION SHEET).
`APPLICATION NUMBER:
`oO
`
`Total Fee Calculation
`
`Total
`4 Claims
`
`Number
`Extra
`
`x
`
`
`
`
`
`Surcharz2
`
`205/105
`
`Ecglish Traaslatiog
`
`139
`
`TOTAL FEE CALCULATION
`ee .
`
`Fees due uponfilingthe application:
`
`d t
`
`Total Filing FeesDue= -°870
`
`Less Filing Fees Submitted
`BALANCE DUE
`
`-$rn
`=B90
`
`L\
`
`Office ofInitial ;atentExaminatioa’
`
`FORM OPPE-RAM.-0| (Rev. 12/97)
`
`Fee
`Fee Cade
`Sa. Eaticy
`SaJLg.
`“
`——_
`201/T0L
`Basic Filiag Fes
`207/103 16_ 205 0K ™
`Total Claim; >29
`207/107 3 x
`*
`ladependest Claims>3
`Mult Dep Claim Present 204/104
`
`=
`
`Total
`
`Fee
`Lg. Eatity
`
`Bl||B BLL||]
`
`
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