PTO/SB/47 (03-09)
`Approved for use through 05/31/2015. OMB 0651—0016
`US. Patent and Trademark Office; U. 8. 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.
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`g Address to:
`5 Matt Stop Ni Correspondence
`Commissioner for Patents
`PO. Box ”i458
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`3 Alexandria VA 223134450
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`Fax to:
`571 -273-6500
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`more information on Customer Numbers, see the Manual of Patent Examining Procedure (MPEP) § 403.
`
`In addition,
`INSTRUCTIONS: The issue fee must have been paid for application(s) listed on this form.
`only an address represented by a Customer Number can be established as the fee address for maintenance
`fee purposes (hereafter, fee address). A fee address should be established when correspondence related to
`maintenance fees should be mailed to a different address than the correspondence address for the application
`When to check the first box below: If you have a Customer Number to represent the fee address. When
`to check the second box below: If you have no Customer Number representing the desired fee address,
`in which case a completed Request for Customer Number (PTO/SB/125) must be attached to this form. For
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`1 For the following listed application(s), please recognize as the "Fee Address” under the provisions of 37 CFR
`1 1.363 the address associated with:
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`Attorney or Agent of recordAL
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`I: Assignee of record of the entire interest. See 37 CFR 3.71.
`Statement under 37 CFR 3.73(b) is enclosed.
`(Form PTO/SB/96)
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`i:i Assignee recorded at Reel
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`NOTE: Signatures of all the inventors or assignees of record of the entire interest or their representative(s) are required. Submit multiple forms if more that one
`signature is required, see below*.
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`forms are submitted.
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`This collection of information is required by 37 CFR 1.363. 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 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 upon the individual case. Any comments on
`the amount of time 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 22313- 1450. DO NOT SEND COMPLETE D FORMS TO THIS A DDRESS.
`SEND TO: Mail Stop M Correspondence, Commissioner for Patents, PO. Box 1450, Alexandria, VA 22313-1450.
`If you need assistance in completing the form, call 1-800—PTO-9199 and select option 2.
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