`
`“Application or Docket Number
`
`PATENT APPLICATION FEE DETERMINATION RECORD
`
`Effective November 10, 1998
`CLAIMSASFILED - PART|
`Column 1
`
`Column 2
`
`9 ¢(7
`SMALL ENTITY
`TYPE C_)
`
`OTHER THAN
`OR SMALL ENTITY
`
`aiT |; on|IE]70.0
`
`TOTAL CLAIMS FGminus20=fe“TTyeo)SCULC
`rerocaroms]—pmmasef
`
`wl©
`
`oO JD
`
`* If the difference in column 1 is less than zero, enter “O” in column 2
`CLAIMS AS AMENDED- PARTII
`
`ly O
`OR TOTAL
`OTHER THAN
`
`
`mee)=CLAIMS HIGHEST " "
`
`NUMBER
`PRESENT
`ADDI
`ADDI
`REMAINING
`PREVIOUSLY
`EXTRA
`RATE
`[TIONAL
`AFTER
`PAID FOR
`FEE
`«AMENDMENT
`
`
`
`fZ
`t
`.
`MG,
`
`AMENDMENTA
`
`
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM
`
`
`
`
`
`
`xwv
`
`X$18=
`
`Oo 2D
`
`Oo D
`
`OR|
`
`+260=
`TOTAL
`OR ADDIT. FEE
`
`ad
`
`ADDIT. FEE
`
`it OR] +260=
`Im SS)bznOmSTSFe-
`
` _
`>Oo9a nym m
`ADDInpeef
`
`Column 3
`Column 1
`Column 2
`ADDI
`=
`CLAIMS
`HIGHEST
`
`
`a
`REMAINING
`NUMBER
`PRESENT
`-
`
`S RATE|TIONALAFTER PREVIOUSLY EXTRA
`
`
`
`"1m m
`TT]
`AMENDMENT
`PAID FOR
`=|
`Brot fefmsfw on| xste-
`=
`"
`
`
`
`uuB [Independent [+wius[me
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM
`
`
`Oo a
`
`
` Column 1
`
`a
`
`-(Column3
`
`Column 2)
`HIGHEST
`CLAIMS
`
`
`ADDI-
`ADDI-
`PRESENT
`Oo
`NUMBER
`REMAINING
`
`
`
`
`5 RATE|TIONAL| AFTER me | PREVIOUSLY EXTRA RATE TIONAL
`
`
`
`
`
`
`
`
`
`Wl fee,=—SPAIDFOR, AMENDMENT FEE FEE
`
`w [Independentfx|minusie xe |_|
`
`FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM
`won|
`
`* If the entry in column 1 is less than the entry in cotumn 2,write “0” in column 3.
`
`** If the “Highest Number Previously Paid For” IN THIS SPACEis less than 20, enter "20.”
`
`***lf the “Highest Number Previously Paid For” IN THiS SPACEis less than 3, enter “3.”
`The “Highest NumberPreviously Paid For" (Total or Independent) is the highest numberfoundin the appropriate box in column 1.
`
`FORM PTO-875
`(Rev. 11/98)
`
`Patent and Trademark Office, U.S. DEPARTMENT OF COMMERCE
`yru.S. GPO:1999-454-473/90301
`
`