By fax, send to:
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`{SPUR ZTI-28RS
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`Heacdwater Research LLC
`104 1 Pruitt Place
`Tyler, TX 75728
`
`PART B-FRHS) TRANSMIPPAL
`Completeandsend this form, togetherwith theapplicable fous}, by mail or fak orvia EFS-Web.
`By mail, send ta:
`Mal Sop HSQE FS
`Comunissioner for F stents
`POBox b430
`Alexandria, VA 22313-1880
`INSTRUCHRONS: Thisshould bensed hr vansinitting he SSUE PEE and PUBLICATION FRR (iPrequived), Hacks | thrmugh § shoutd becanplotedwher appmprisic
`ALL further correxpandence including the Patent advance andes aud retiication afmmintensace des whl bowvallad to the carrent conespondencd addressaf indicated unkes
`sutrecied feloyor dined atkerwise in Block 1, hy {a} specifying a new vormepandence address; andlor (hyindinsting a sepssaia “FEE SUDREGS"fs asinicsance Sy
`sotiications,
` CURRENF CORRESPONDENCE ADDRESS (Nois: Ua Hock 1 Srany change afaidibess)
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`h shbitionsl paper, such as on sasignawat or Doral dmwing, mst
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`bavets own catifkate of mailing os traasnvssion.
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`thereby cmify chat ihis Pacis} Thamenvital js heing deposited vith the Need
`Sites Posts} Serview with auGeient pasteys Ss Jeet class vail in on oserloge
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`sddresead fo dic MO] Nap BEDE PRE sddreesshays, or bring wementied a he
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`Jepniter Smith ©
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`16/274 405
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`7APSLIEATION NO “y_HLING DAIS
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`FIRST SAMED
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`PNROSA TILINS aD
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`TALE OF INVENTION: cogiLg DEVICE ARD SERVICE MANAGEMENT
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`EXAMINER
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`CLASSSIRTASS
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`3, Change ofcommspondence address or indication afPee
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`2. For printing aa ihe potent font pape, st
`Address" (37 CBR 3.363}
`{2} “The nares ofup to D registered patent attumieya—E. James E. Harris
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`(C3 Changeof carespondense address (or Change of
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`Cormpandised Adgnas OrPPO/SAIE 27) stiached,
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`Sr PPOSBAT? Rev 03.09 ar move recent}
`no. name is sted, ao name vesit be print.
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`atigohiad. Use of 2 Customer Somber ferequired.
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`ASSKINEE NAME AND RESIDENCE DATA TOBE PRINTED GN THE PATERT (print orig)
`3.
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`(AYNAME OF AGSKINEE
`{B) RESIDENCE: FCITY and STATE of COUNTRY
`Headwater Research LLC
`Tyler, TX
`
`Plnose checkthe appropriste asaigues cotagary ut eatqgories (itinutheprinted on the patent): [individual [7] Composarion or other private group omity [J Oavenment
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`4a. Foes Submited: GfliisuePes=(Cd Puttttemiantoe G@trequirady©(T] Advance Qsder- 8 ofCopies
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`5.Chongeol Enrity Storms (ramatanis indieatedabove)
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`CFR 13} ad133, Sag3? OFR.J4.Ss signaturesoguimaenis and setifcations:
`NOTE: This Sim, anesthe signed in adoordands with 37
`Authosiaed Signature
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`Date May 16, 2024
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`Typed orprintedsemy Dames E. Haris
`Ropistradon No. £H04 3
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`PTOL-B4 Part BOS-18)Approved Orwse thraugh 03.54 M2023 OMB 0641-0033 U.S, Fasent and Tradermek Giles; LIS. DEBARTMENT OF COMMERCE.
`
`
`
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