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PART § - FER(S} TRANSMITTAL
`Complete and send this form, together with applicable fee(s), tos Mall Mail Stop ISSUE FRE
`:
`Commissioner for Patents
`P.O. Box 1450
`Alexandria, Virginia 22315-1456

`or Fax (372)-273-2888
`
`
`
`
`5 should be completed whe
`ESSTRUCTIONS: This tnim should bo used for iransmituing the ISSUER FER and POBLICATION FEE Gf required) Blocks [through
`apprapiste. All futher cormasandoner including the Patent, advance ones and sosificgtion of maintenance foes will be mailed ty. the Seeeot conespandence weldross a8
`eGness porreeteddetow er directed otherwite In Block 1, by (a) specifying 9. ew correspondence address; andfor (b)- indicating a sspanaz “FEE ADDRESS" for
`Kote: A cortificain ofmailing cun-anly be used or domeste mailings ofthe
`Foe{s} Transmittal, This certificate cannot be used for any other aceampanying
`PRBCTS, fuck midiionnl papes, such as an ageigmment or formal deuwingmt
`have its own cortifeate af mailingaf transmission
`;
`j
`Certificate ofMailing or Transelusion
`Stntes foetal Service with satttctent pastage for first classmail fy an: envelope
`Thereby corti
`thin this Peegs) Trancasitis] is being deposited with che Unned
`addrussad 36 the Mail St
`ISSUE FEE address above, ar being fecsimile
`ansimitiedto
`the USP
`4
`73-3885, on the daic Indicated below.
`transinitieg
`to the USPTO (71)
`iBeparitor's none}
`
`
`
`igawe)
`
`TURRERT CONRESPONEERTE ADORESS ENow. Lise hoe } for shy change af adders):
`
`OSEIETE
`5808
`$87t3
`PATTERSON THUENTE PEDERSEN, F.A,
`nae ty
`Et
`SPREE
`+ REP
`AT
`FEES
`4200 TDS CENTER
`80 SOUTH 8TH STREET
`MINNEAPOLIS, MN35402-2100
`
`
`
` APPLICATIONNG. | FILING DATE FIRST NAMED INVENTOR
`
`
`
`ATTORNEY DOCKET NO.|CONFIRMATIONNO. |
`Howard ©. Root
`$84195,435
`ODOM
`2005.REUSREN
`a778
`TITLE.OF INVENTION: CGANIAL OUIDE CATHETER POR INTERVENTIONAL CARDIOLGOY FROCEDURES
`
`DATE DUE
`APELN. TYPE.
`ENTITY STATUS | ISSUE FER DUE
`T
`e |
`nanprovisionsl
`UNDISCOUNTED
`$950
`$9 8
`3260
`DMT WES
`
`EXAMINER ~ ART GNET
`
`
`
`CLARS-SURELASS
`
`
`
`f
`
`EM-1O4010
`WILLIAMS, CATHERINE SERKE
`3993
`2. For printing onthe patent Sront page, list a
`{.Changeafcorrespondencendidvase or indication of"Poo Address" (2?
`
`(4} The wamexof up ie 3 ropistered patentianierneys
`—* PattersonThuente
`CRI O8R}
`aragenis OR,alternatively,
`O Change ofchevosy pndence gudices for Change afCarmspondanes
`(2) The name of asingls fret (having as ¢ member 3
`2Pedersen,Pa
`Adress tonm PROFSE/122)attached.
`registered attumey or agent) and the Bamnes ofup te
`T} "Pos Addrose? indivation(or “Pes Address” Indication fare
`
`2bagistered pater! attorneys or agents.
`[Pac nameis 3
`no
`PTOSSBAN Rev Gsar mre recent} Misehod. Use ats Castamer
`fated, no name svill be prinus.
`Nomber is required,
`TRSSIONER NAME ANS RESIDENCE DATATOBEPRINTER GN THE PATENT(print of type}
`PLEASE NOTES Unless an assignee is dontified elow, ny assignee date will appear om the patent. If ae asxignesis Montified Below, the document his been filed for
`rerordaion as set forthin 37 CER 3.24. Comploton oftis forms NOT.o subuthute for tiling on sxsigamedt,
`(A) NAME OF ASSIGNEE
`{8} RESIDENCE: (CITY and STATE GR COUNTRY)
`
`vascular Solutions, Ine.
`
`Minneapolis, MN
`Chindividuat, BQ corporation ar otter private geoup-ontity im Havecieneat
`Pleas chook dis apgeoprinin asstgncd category or-emegorics (val nas be printed onthe patent;
`
`
`
`4s. The followingfee{s) ave submitted:
`4, Payment ofFoo(s) (Please fivat reapply atry provinusly paid tssue fer shown seve)
`RD issue Fee
`(PA cheek Js enclosed:
`any
`fis
`(] Rubiication Boe (Nosmall entity discount permed}
`KGpageant bycradle card, RoROORRpoate, a ot)
`oe
`
`
`i izedanhareSee i Sithediecur ie squire foots), any deligioacy, or adie 4
`
`
`
`
`
`
`
`OF Stee
`e
`are #
`$
`The diroctor is hereby authorized to charge the mquined
`foots},
`3
`any
`Ui Advance Onder # ofCopies
`Seon to Deposit Account Number16062
`Cenckése wet exes copy af this form).
`
`
`
`
`5, Change in Entity Sestas Geom status indicated above)
`OER
`jd
`cocti
`fication
`of
`Micro
`Entity
`Status
`{
`.
`SRSTSA anal 158), asus
`Agilent SoeJ?CERcertifying mniera entity status: 1.28 NOTE: Absent 2valid ceuification ofMicro Entity Status (see forma PTOVSEISA \
`
`
`
`
`
`
`
`
`I Applicant certifying mere onfity status, See 27 CPR 12
`fee ener in the micra entily gimdount will not bet accepted ah the tink afapplication shuadoament
`a Applosnsissrting smalf-entity status. See 7 CPR £27
`ROLE: Tfths application was previously under micra andy sists, gheeking dis tow will be taken
`‘y
`tana
`Ss
`eS
`-
`la bo a nnniGication of loss af entiGorneds to mlore Cnty Status.
`NOTE: Checking dis box will be lakes lo bea sodfieation of logs-of entitioment co small or eniers
`7 *
`ei
`sth
`i
`Hy
`fee.
`v2
`<
`i
`‘2 Apaticant changing
`10708
`"
`ently dotus, as rpplicable.
`ey
`changing to rogulie undiscounnad fee satus.
`:
`;
`
`
`MOTE: This formust be 4
`
`fp~Roys
`Ainorend Sigushun
`Date. Sanents
`Neenie sh
`ee
`


`~
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`isirath
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`45.454
`sineetnnannaninnnne
`
`Typed or ptinind mame_PanlCiderick ceusecuts Bepisivation Na aS. en -
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`SYPAT OS tan BRP ER ORAN A awed dee ea Chanuak UOTE peed
`
`
`
`Page 2 of 3
`PAR Nei aeats
`
`SD Ratan awd Percomnds PUoo bE DB TO OTR RRI CA OA RAED
`
`

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