PTO/SB/06 (09-11)
`Approvedfor use through 1/31/2014. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF GOMMERCE
`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.
`
`PATENT APPLICATION FEE DETERMINATION RECORDJ“plication or Docket Number Filing Date
`
`Substitute for Form PTO-875 06/29/2013|LC] Tobe Mailed13/931 ,857
`
`
`
`ENTITY:
`
`[X)carRGce [] smatt [] micro
`
`APPLICATION AS FILED — PART|
`
`(Column 1)
`
`NUMBER FILED
`
`(Column 2)
`
`NUMBER EXTRA
`
`37 CFR 1.16(a),
`
`(b), or
`
`(¢
`
`37 CFR 1.16(k),
`
`(i), or
`
`(m
`
`CL EXAMINATION FEE
`
`TOTAL CLAIMS
`37 CFR 1.16(i
`INDEPENDENT CLAIMS
`37 CFR 1.16(h
`
`LAPPLICATION SIZE FEE
`(37 CFR 1.16(s))
`
`.
`
`.
`
`AMENDMENT
`
`APPLICATION AS AMENDED - PARTII
`
`(Column 1)
`
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`
`(Column 2)
`
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`
`(Column 3)
`
`PRESENT EXTRA
`
`06/29/2013
`
`ADDITIONALFEE ($)
`
`[_] Application Size Fee (37 CFR 1.16(s))
`
`Cc FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`—5
`
`(Column 1)
`
`(Column 2)
`
`(Column 3)
`
`CLAIMS
`REMAINING
`AFTER
`AMENDMENT
`+
`
`
`
`Total (37 CFR
`
`PRESENT EXTRA
`
`HIGHEST
`NUMBER
`PREVIOUSLY
`PAID FOR
`aosCiae;
`i
`tik
`Ind
`dent
`*
`esCdee
`[_] Application Size Fee (37 CFR 1.16(s))
`
`j
`minus 20 =
`J
`minus 3 =
`If the specification and drawings exceed 100 sheets
`of paper, the application size fee due is $310 ($155
`for small entity) for each additional 50 sheets or
`fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37
`CFR 1.16(s).
`[_] MULTIPLE DEPENDENTCLAIM PRESENT(37 CFR 1,16(j)
`* If the difference in column 1 is less than zero, enter “O” in column 2.
`
`The “Highest Number Previously Paid For’ (Total or Independent) is the highest numberfound in the appropriate box in column 1.
`
`AMENDMENT
`
`Cc FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR 1.16(j))
`
`* If the entry in column 1 is less than the entry in column 2, write “O” in column 3.
`** If the “Highest NumberPreviously Paid For” IN THIS SPACEis less than 20, enter “20”.
`*** If the “Highest Number Previously Paid For’ IN THIS SPACEis less than 3, enter “3”.
`
`LDRC
`/CHRIS A. JONES/
`
`This collection of information is required by 37 CFR 1.16. The information is required to obtain or retain a benefit by the public whichis tofile (and by the USPTOto
`process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 12 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 TrademarkOffice, U.S.
`Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTO THIS
`ADDRESS. SEND TO: 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.
`
`