PTO/SB/47 (03-09)
`Approvedfor use through 05/31/2015. OMB 0651-0016
`U.S. Patent and Trademark Office; U. S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respondto a collection of information unless it displays a valid OMB control number.
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`“FEE ADDRESS”INDICATION FORM |
`
`| Address to:
`i Mail Stop M Correspondence
`; Commissioner for Patents
`' P.O, Box $456
`f Alexandria, VA 22373-1450
`
`Fax to:
`571-273-6500
`
`PRRRRON
`
`SASSER
`
`SAASEAIRESTED
`
`Forthe followinglisted application(s), please recognize as the “Fee Address” underthe provisions of 37 CFR
`1.363 the address associated with:
`
`Customer Number:
`
`OR
`
`: [] The attached Request for Customer Number (PTO/SB/125) form.
`APPLICATIONNUMBER
`
`PATEN
`
`(if known)
`
`Completed by (check one):
`[_] Applicant/Inventor
`
`13/234,904
`
`~. “ Ne
`Signature
`
`In addition,
`INSTRUCTIONS: Theissue fee must have been paid 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 checkthefirst 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 attached to this form. For
`more information on Customer Numbers, see the Manual of Patent Examining Procedure (MPEP) § 403.
`
`0
`
`signature is required, see below*.
`
`LX]Attorney or Agent of record 54,463 ._ Michael D. Specht
`
`
`
`
`(Reg. No.)
`Typed or printed name
`
`[| Assignee of record ofthe 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
`
`.
`
`(2023371-2600
`Requester’s telephone number
`;
`
`NOTE:Signaturesofall the inventors or assignees of record of the entire interest or their representative(s) are required. Submit multiple formsif more that one
`
`
`
`is required to obtain or retain a benefit by the public whichis to file (and by the USPTO
`This collection of information is required by 37 CFR 1.363. The information
`to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 5 minutes to complete,
`including gathering, preparing, and submitting the completed application form to the USPTO.Time will vary depending uponthe individual 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, Alexandria, VA 22313- 1450. DO NOT SEND COMPLETE D. FORMS TO 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.
`
`