`
`DECLARATION AND POWER OF ATTORNEY FOR PATENT APPLICATION
`
`[AIA Compliant]
`
`As a below named inventor, I hereby declare that:
`
`This declaration is directed to:
`
`[X]
`[.
`]
`
`the attached specification, or
`United States Application Number, or PCT International application
`
`number
`
`filed on
`
`~ My residence and post office address are as stated below under my name.
`
`The above—identified application was made or authorized to be made by me.
`
`I believe that I am the original inventor (if only one name is listed below) or an original joint
`inventor (if plural names are listed below) of a claimed invention, in the application entitled
`
`TOOL BOX USEFUL FOR PAINTERS
`
`I hereby acknowledge the duty to disclose information which is material to patentability as
`defined in Title 37, Code of Federal Regulations §1.56.
`
`I hereby claim the benefit under Title 35, United States Code §l 19(6) of any United States
`provisional application(s) listed below.
`
`
`APPLICATION NUMBEflS)
`FILING DATE (MM/DD/YYYY)
`62/368,349
`July 29, 2016
`
`Power of Attorney
`
`I hereby appoint as my attorneys or agents the registered persons identified under
`
`Customer No. 23565
`
`for the law firm of Klauber & Jackson LLC, said attorneys or agents with full power of substitution
`and revocation to prosecute this application and transact all business in the Patent and Trademark
`Office connected therewith.
`
`
`
`Please address all correspondence regarding this application to Customer No. 23565.
`
`Attorney Docket No.: 3509-1-001N
`
`DAVID A. JACKSON, ESQ.
`KLAUBER & JACKSON LLC
`25 EAST SPRING VALLEY AVENUE, SUITE 160
`MAYWOOD, NEW JERSEY 07607
`
`Direct all telephone calls to David A. Jackson at (201) 487-5800, and Via email to the
`following address:
`info@kjiplaw.com.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable by
`fine or imprisonment of not more than 5 years, or both, under Section 1001 of Title 18 of the United
`States Code.
`
`FULL NAME OF SOLE OR FIRST INVENTOR:
`
`Juan CUBILLO
`
`COUNTRY OF CITIZENSHIP:
`
`, United States
`
`FULL RESIDENCE ADDRESS:
`
`344 Godwin Avenue
`
`Midland Park, NJ 07432
`
`SIGNATURE OF INVENTOR
`
`FULL POST OFFICE ADDRESS:
`
`S,» e As Above
`. /‘
`
`
`
`DATE_ E4 7:; / '
`
`
`
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