UTILITY
`
`PATENT APPLICATION
`TRANSMITTAL
`(Only for new nonprovisional applications under 37 CFR § 1.53(b))
`
`APPLICATION ELEMENTS
`See MPEP Chapter 600 concerning utility patent application contents.
`
`Address to: Commissioner for Patents
`P.O. Box 1450
`Alexandria, VA 22313-1450
`
`1. |:| Fee Transmittal Form (with duplicate for fee processing)
`
`ACCOMPANYING APPLICATION PARTS
`
`2. I:I Applicant claims Small Entity status, see 37 CFR. § 1.27
`
`9. I:I Assignment Papers (cover sheet & document(s))
`
`.IXI
`
`Specification
`
`[Total Pages 15 ]
`
`Name of Assignee:
`
`.|:|
`
`Drawing(s) (35 usc § 113)
`
`[Total Sheets ]
`
`37 CFR § 3.73(c) Statement
`
`-|Z|
`
`Oath or Declaration
`
`[Total Pages 4 ]
`
`a. El Newly executed (original or copy)
`b. IX Copy from a prior application (37 CFR § 1.63(d))
`
`. K4
`
`. El
`
`Application Data Sheet, see 37 CFR. § 1.76
`
`CD-ROM or CD-R in duplicate, large table or Computer
`Program (Appendix)
`I:I Landscape Table on CD
`
`. El
`
`Nucleotide and/or Amino Acid Sequence Submission
`(if applicable, all necessary)
`
`a. EIComputer Readable Form (CRF)
`b. EISpecification Sequence Listing on
`i.
`I:I CD-ROM or CD-R (2 copies); or
`ii. I:I Paper
`0. El Statement verifying identity of above copies
`
`a. X Power of Attorney
`
`English Translation Document (if applicable)
`
`Information Disclosure Statement and PTO-1449
`
`a. |:I Copies of citations attached
`
`Preliminary Amendment
`
`Return Receipt Postcard (MPEP 503)
`
`Certified Copy of Priority Document(s)
`(if foreign priority is claimed)
`
`Non-Publication Request
`under 35 U.S.C. § 122 (b)(2)(B)(i)
`
`Other:
`
`
`
`(1) Benefit claims under 37 CFR 1.78 and foreign priority claims under 1.55 MUST be included in an Application
`Data Sheet (ADS).
`(2) For applications filed under 35 U.S.C. 111, the application must contain an ADS specifying the applicant if the
`applicant is an assignee, person to whom the inventor is under an obligation to assign, or person who otherwise
`shows sufficient proprietary interest in the matter. See 37 CFR 1.46(b).
`
`19. CORRESPONDENCE ADDRESS: Customer Number 24341
`
`Name
`
`.
`
`Registration No.
`
`57 ,765
`
`

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