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`This coiiaz‘ricn of mic-martian is required by 3? CFR 1.131 1.32. and 1,33, The information is required i0 obtain er raisin a benefit by 3hr: pubiic whit;
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`€35 iime you requare in compie’ie iriis form arid/”m sugges‘iiuris for reducing this burden: she-um be sent is tha Chief information Officer, US Patent and Trademark Office, US.
`Deparimeni sf Commerce. Psi). Box MSG. Aiexandiia, VA 22313dr350i DC} NUT SEND FEES GR COMPLETED FCRMZS TC) THiS ADDRESS. SEW} Ti): 69mmissimer
`far 3538193325, P1). Bax 15559, Aisxrzhdria‘ VA Jams-1453.
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