`
`PTO/SB/96 (07-09)
`Approved for use through 07/31/2012. OMB 0651—0031
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`a collection of information unless it displays a valid OMB control number.
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`Applicant/Patent Owner: Shuffle Master. Inc.
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`Application No./Patent No.: 7387300
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`Filed/Issue Date: 06/17/2008
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`STATEMENT UNDER 37 CFR 3.73m)
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`PLAYER-BANKED FOUR CARD POKER GAME
` “fled:
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` Shuffle Master, Inc.
`a
`Corporation
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`(Name of Assignee)
`(Type of Assignee, eg. corporation, partnership, university, government agency, etc.
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`states that it is:
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`X]
`the assignee of the entire right, title, and interest in;
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`an assignee of less than the entire right, title, and interest in
`(The extent (by percentage) of its ownership interest is
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`A. Z,
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`OR
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`the assignee of an undivided interest in the entirety of (a complete assignment from one of the Joint inventors was made)
`the patent application/patent identified above, by virtue of either:
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`%); or
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`An assignment from the inventor(s) of the patent application/patent identified above. The assignment was recorded in
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`the United States Patent and Trademark Office at Reel
`015459
`. Frame 0613
`or for which a
`copy therefore is attached.
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`B. :l
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`A chain of title from the inventor(s), of the patent application/patent identified above, to the current assignee as follows.
`1 From:
`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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` 2 From:
`To:
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`The document was recorded in the United States Patent and Trademark Office at
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`Reel
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`Frame
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`or for which a copy thereof is attached.
` 3. From:
`To:
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`The document was recorded in the United States Patent and Trademark Office at
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`or for which a copy thereof 13 attached.
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`Frame
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`Reel
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`E]
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`Additional documents in the chain of title are listed on a supplemental sheet(s).
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`D As required by 37 CFR 3.73(b)(1)(i), the documentary evidence of the 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 (Le, a true copy of the original assignment document(s)) must be submitted to Assignment Divrsion in
`accordance with 37 CFR Part 3, to record the assignment in the records of the USPTO. SE 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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`wag/1C6a K ~¢zax¢ecw
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`Signatu e
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`Jennifer K. Farrar
`Reg No. 34,775
`Senior lP Counsel
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`Title
`Printed or Typed Name
`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 USO. 122 and 37 CFR 1 11 and 1.14. This collection is estimated to take 12 minutes to complete, including
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`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 223134450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO‘ Commissioner
`for Patents, PO. 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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`Privacy Act Statement
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`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection
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