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`Attorney Docket No.: 18962-0679001 / Client Ref:P14727USl
`
`PTO/AlA/01 (06-12)
`Approved for use through 01/31/2014. OMB 0651-0032
`US. Patent and Trademark Office; US. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Title of
`Invention OBJECT CONNECTION
`
`As the below named inventor, I hereby declare that:
`
`This declaration D The attached application, or
`is directed to:
`
`
`
`IE
`
`United States application or PCT international application number 13/677,207
`
`
`filed on November 14, 2012.
`
`The above-identified application was made or authorized to be made by me.
`
`I believe that I am the original inventor or an originaljoint inventor ofa claimed invention in the application.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
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`
`LEGAL NAME OF INVENTOR
`
`Inventor:% Date (Optiona|) :
`
`12/10/2012
`
`Signature: w
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity, must accompany this form
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`THIS ADDRESS. SEND TO: Commissioner for 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.
`
`50876837.doc
`
`American LegaINet, Inc.
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`