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`Document Description: Oaih or decimation iiied
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`P112370USOO
`prorAiA/osn‘ms)
`Apurovw 10- use 1110111111 1 113012320 0111306510032
`US Patem and Trademark Office: U. 8 DEPARTMENT OF COMMERCE
`
`Under the Paperwork Redo8110.. Act of 19 5 no persons are required to respm-d to a convection of infomation UHEESS 11 contains a valid OMB control number
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`BEQLARATEGN FQR UTEUTY QR
`neeien
`PATENT APPUGATEGN
`(3? {SEE 133)
`
`Deciarazion
`a Subm‘
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`With initiai
`Filing
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`OR
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`Ex:
`:
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`Declaration
`thmiited Ami initiai
`Fiiing 1311113112ng
`1'17 CF111. 16(11)
`rer'1111-3111
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`
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`PRQTESNwFORTiFiE-LD F0013 PRODUCT
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`Aiiorney Dockei
`Number
`---------------------------------------------------------------------
`----------------------------
`1 \eeié Martina Eiieabeth Marie.- La
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`"aw—75155111,?"LE‘19‘1E135m——
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`gdanuary 25 21119
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`““““““““““““““““““““““““+W‘”““““““““““““““
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`As a beiow named inventor; i hereby deciare that:
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`This deeiaraticn is directed 1.0:
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`Wit/e ofthe Iwe{ion}
`
`m The attached application,
`OR
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`E41 Uniied States Application Number or PCT internanonai appiieaflon number 1573201898
`
`fried .; January 25 2131‘s}
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`The above-identified application was made or auzhorized to be made by me.
`
`i beiieve i am the originai inventor or an angina! joini inventor of a ciaimed invention in the appiication.
`
`i hereby acknowiedge that any worm faise statement made in this oecieration is ponishabie under 18 U SC .1001
`by fine or irnorisonrmen? of not mc-re than iii/61(5) years. . or 110.11.
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`Direct 21!!
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`[Page 1 012}
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`This ceiieciion oi' ’crmaiion is squire(1'9y'35 {5.9.6.11 5 and L171FH 1.53'1116 information is required in obtain erretain a benefit by 11.3 public which is to iiie (and by
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`P11237DUSQG
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`Approved fer use thrnugh iiiaaizugci OMB (365145032
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