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`TGIA!Aim (66-4-2)
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`Approved for u:-a— through 'l: 4'39’2020. OivE3 0651»06””
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`U.5 Patent and Trad£1n1ark0.. ice; US. DEPARTMENT QF"QMME
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`Under the Paperwork Reduction Art of 1995 no persons are required to respond to a co“laction ofinformation untess it displays a vriiid (WEB cont:oi number
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`DECLARATEQN {37 CPR 1.63} EGR U'FELETY GR DESEGN APPLECAWQN UgiNG AN
`APPLECAHGN DATA SHEET {3? CFR 1.76}
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`LENEAR VEBRATEON MOTOR
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`invention ‘
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`‘ As the heiow named inventor, i hereby declare that:
`This deoiaration
`is directed to:
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`I
`'
`c
`e d
`The attached apoiicatiort, or
`United States appiioation or PCT internationai appiioatiun number
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`PCTIJ P2917i019416
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`med on Niay24 2617
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`The above—identified application was made or authorized to be made by me.
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`i beiiove that i am the originai inventor or an originai joint inventor of e claimed invention in the appiiostion.
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`i hereby acknowledge that any wiiifui false statement made in this declaration is punishabie under 18 U.S.C. 1001
`5 by fine or imprisonment of not more than five (5). years, or both.
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`WARNENG:
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`LEGAL NAME OF iNVENTOR
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`inventor:
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`Mesaya ENDQ
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`f’tafiL
`Signature:
`\Gfi‘vfl, 9L
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`su“u““5““‘“«“u~.-“
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`Date (Optionai)j
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`955/914“figs? 2:26 (5*
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`been previousiy filed. Use an additions! PTO/AiAiG1 form for each additional inventor.
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`‘ orrnstion is W:quired in obtain or reiain a benefit by the pubiic which':5‘it:- 1“:la (and
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` LISPTD to process) an app
`b}, 35 U. S“C 122 a1d 37 CFR ‘- 11 and 1.:
`[ion is estimated to take. mi nuts to
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`piste, moulding gathering, prep
`1 form to the'tSPTO. Time.ml: vary depsn ng upon iii-:1 individuai case. Any
`ng, and submitting ‘he comrlsted anolic
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`:.-. ants on the amount ottime you require to compiote this form anrifor sugge. .
`its for redu '10 this burden, should he sent to the Chief information Officer. LiS.
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