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`US. Parent and Trademark Office; {3.5. DEPARTMENT OF COMME CE}
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`EONNEES FOUR LA SEMANQE {3? CFR “3.376)
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`SEGLARATSQE {3‘7 GFR 1.83) FOR UTiLWY {3R QESEGS AFFUCAYEQN 633838 AS §?PL§CAYEQN {3&3} $35K?
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`i‘invention
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`Err £53m qua {‘inverttem rxammé 046255005. is eéciars per ha préseme que :
`As the beiuw named inversion i hereby deciare their
`Ce’de decimation
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`35.1 addressee
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`Ls derrrande ci—icinte, on
`:E The attached appiication, or
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`This decimation
`is directed {0:
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`Le numém de demands: LISA 01: {is demands: iriiemafianeie PCTW dénOSéa WW“...
`Uniied sates anniimtion or PCT internationai apeiicaiien number 161' 20 993
`iiied on
`uix 2.5. 20‘:
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`La demands. ifism‘rfiée ci-dessus a rare faiie oar airtorisée r} ems faiie par moi.
`The abovenidafiiii‘sed sppiicefion was made 0r autharized :0 be made by me
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`Je suis carivairieu{e} qua is: suis i’irwen’reur d’ariginrs cu m mvinventew d‘urigisse d’una irwssziion raveriéiquée dams is dementia.
`i believe than am me stigma: invariier or an ariginai goim inventor or a ciaimed inventian in the appiiaatian.
`Je reesrmsis mar 2a présente que touts siécieration menmngére fairer sic-{arrirziremam dens was décisraiieri est punissabie ea vertu (is: :25 mi 1 55 USC mm
`par une amends: 0L! un enmrisonnament d9 pas puts tie cinq (5) ans, (:0 fies deux.
`Vi hereby acknowiee‘ge first any wiiiasi faise statement made in rhis decisi‘atiari is: punisi‘rsbie wider 18 USS. 3-901 by fine or imprisonment of not mere
`than five {5) years, or both.
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`fiVERTiSS‘rEEfiEfi? :
`WARMNG:
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`3
`La pétiiinnfiaire ! demandeur est prié d‘eéviier tie soumeiire ties donnéee a samcters personnei time less dormmems dépsses dans une dementia
`tie breve: pouvant aentribuer a i‘uaurbatier: d‘identire Les ciarmées a caracierr: personnei ieis que {es numems tie sewrite sociaie, ies euméres (‘93 g
`Vcemptes isazrcrziresz nu {es numems de: canes d5: crédii (auire qu‘uri fonnuiaire PTO—2038 d‘auiorisaiion tie cheque or: fie ear-re ea credit ecumis
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`a des fuses de psiement) he sent farusis requis per i‘USPTO pour eppuyer me petitian cm urr semi. Si (:03 {was de mnnées r) camctére serssnnei
`eon: inciues (isms ies decumenizs sournis é i‘USF—‘TO, ies peiitionriairae I demandeurs dewaient envisager ri’eniever sis teiies dormees é caraeiere
`personnéei ties (imam-ems even: de £935 swmettre r3 i’USPTG. Le peiiiionnzaire i derziancieur as: irri‘ormé qua fie dossier d'une demands ole brat/st
`Vest mis a is disposition {in {subiic apres gmbficaéian de la demands {3 meme qu'une demands: de non pubiicarim confarmémerii s 37 CFR 1,213
`{a} suit {sites darts is; demands) cu assures ie déiivrerrce d‘un brevefi. En wire, 50 dessier ii'urie demands; strandennee pent aussi airs: miss a is
`disposition du pubiic 55 is dementia es? referencéee darrs Line demands pubiiée on an breve: déiivre (voir 37 C??? “i .14). Les formuiaires PYO~
`2038 d‘auiorisaiicn (3e cheque ou de carte de credit soumis a des fins d-e peiement rte sent was conserves dens is: dossier {is demende er ne
`sent done pas accessibies an pubiic.
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`I
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`Petiiionerlappiicant is cautioned to avoid submitting persona! irrfm'rnaiion in dosmnents fried in a patent appiicmiori {hat may rmntribute to identity
`ihefi. Persona! infarrnatiori such as scciai security numbers, bani: acceuni numbersr, or czr'edié card numbers {other than a shack er credif card
`Vsutiierizaiion form PTO-2038 submitted for payment purposes) is never required by the USP‘E'O to support a premier; or ran eppiicatien. if this. type
`of perennei informaiien is irrciurjed in decrements submified to the USPTO, petitionersieppiieants shouts” consider redasiing such persnnai
`irriermetion from the documents before submitting them it) the USPTO. Peiiiierreriappiieam is advised that the record of a patent ageiieetion is
`avaiiabie ta rhe pubiia after pubiicaiion 0f the appiisaiion {untess a nonvpubiicatiers request in wmpiiarice with 3? CFR 133i 3(a) is made in the
`appiiceiion) or issuance of a patentr Furthermore, the resort! from an abandoned appiicaiion may aim be evaiiabie to the msbiic if the agzpiiceifian
`is referenced in a pubiished rapgréiceiion 01‘ an issued pater“ (see 3? CFR 1.14} Checks and credit card autrzai‘izalian forms PTO-2038 submitted
`far as m
`gggqoses are net retained in the a
`iiceiierz r‘iie arrri treerefere are iithggpbiieix evsiiabie,
`NON! DE!
`CiVSL DE L‘SNVENTEUR
`LEGAL NAME OF ENVENTOR
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`Date (sasuitaiiigxs
`Base {Gkfiisseifiv
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`‘VI.
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`Signature :
`Signaiure:
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`.06; données pour ra demands: (PTCJIAiNH m: équivaierii}, y camsfis nommer i‘ensemhie 0e i‘enrirr’a inventive, drzit accempagraer ce
`NB: time are
`farmuilaire. Uiiiiser un fornurieire P'i‘OiAiNoi pour cheque farmuiaire suppiémenlaire.
`Note: An smiicaiion data sheet {PTOINN’M 0r equiveient). iizciuding naming the entire inventive entity, must accomgirsny this form. Use an addiiiariei
`VPTDIAENM form far each additionai invenmr,
`
`This sensation of iniormaiiun is required by 35 LEVELS. 1:5 and 3? CFR $63 The infunna‘d’on is required i0 obtain or retain a benefit by the public. which is is iris {and by the
`USFTCJ i0 precess} arr appii-raiionV Confideniisiiiy is; governed by 35 {1.813. 122 and 27 CFR 1.11 and 1.14. T his coiiarsiicn is esrimaied {a take 1 minute in campiete
`including gathering. preparing, and submitting the mmpietecj ramification form to she USPTO. Time wiii vary depending upms the iridividuai case. Any comments on the amouni
`isfiime you require in mmpime this form audicr suggesti fins for reducing this burden. shouiu“ he sent to the Chief information Officer: UVS. Patent and Trademark Office. US.
`Department emanmema, Roi Sex 1450, Arexarrrrria, VA 223101450. :30 NOT SEND FEES. 0R COMPLETEG FORMS TO Trirs AQDRESS. SENQ r0;
`Commissicnsr f0? Fatemts, R0. fiox 1:356, Alexandria, VA 2231341351}.
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`nyor: need assisiance in campieiing the farm, trait woo-Frames? am: select «prim 2.
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`Underthe Pa .eiwork Raducticrs Act at “2995, no msons: are { mired ta res on
`SEMANSE {3E ugcmmvim (3'; cm 133} must utsm
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`3? CFR 4.78
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`PTOIAEAIM {(36:32}
`Appz‘m‘ed for use through 0113112614. OMB asses-34102.2
`us. Patant and 't‘rademark Office; as DEPARTMEN’? OF COMMERCE
`ns :3 valid (EMS comm! mmbe.
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`FEMTOSCCONQ LAS ‘
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`En tani que i‘inventeur nommé ciudafissmzs. §e daistarea par ta pi‘ésente (we :
`As {he beiow named invantor, t hereby dezsiare that:
`Cette decimation
`fist addressee
`é :
`
`3.3 demande ciȤqtnta. cu
`The attached iapgittcation, £3?
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`1'th dgcgamfiufi E Le: numéra tie damands USA cu (ts demands: iniematianaie PCT
`gs directed to:
`waiter} States apaticafion m PCT internationat anpiimtisn member “$320393
`La demands identifiée chdeessus a été iaiie ou autortsée a éire faite gar moi.
`The abovwktentified appficaiion was matte or sutiwn‘zee} to ba made by me.
`
`.. démaée He,
`»_____ filed an Aggy 2;". 2017
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`.te guts mnvaincma) ewe ie suis i’izwentsur d'origina an un co—iiwente‘ur (t’arigins dime invention revandiquée tians i3 demands.
`i betieve that i am the afiginat inventer w an Grimm} mint inverstar af 8 maimed inventian m the appiimfim.
`.33 recannais par ta présente we taut-e déaiasatian maziaengéra iaiie vetentsiremem (tans mafia déciamfim est puttisisatziee en veriu de ta mi 13 USC- i031
`par me amends: in; un amprisonnement de pas pius de. Sim: (5} ans. cu Hes deux.
`i hereby acknawiedge mast any wiiifui faise ataiement made in this éeciaratten is punishabta under 18 Lil-SI). mm by fine at impriwnmem oi not maie
`than five {5) years, 0r both.
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`:
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`AVERYSSSEMgi‘é? 3
`WARMNQ:
`
`Lee pétitimmaire i demandem‘ est prié d'éviier de semis-stirs: des données; é caractéare gearsonnei darts {es fiacumems dapases dens tine demands:
`da brevet mutant contribuet a t’ummaiion ti‘iderttité, Lass donnéafi a caractére passomai i‘eis {we test numéms 6e esécuriié sedate. tee; numéms de
`mmpies hancaites, on has numerog de Garters 6e crédiz {entree qu‘un {Gfmuiaii‘e PTO—2038 d‘auimisaéien (is: chéque Qt: cie cane tie. crécéit soumis
`a dag tins: de paiemant) nee samt iamais i'equis gar i’USPTO your appuyer Line pétifion nu um dépm. Si cease types tie dcmnéas 2‘s ma‘actése persasmet
`sent. inc-Sues darts Ees decuments anemia é i‘LiSPTO, {as gséiiiiormairess .I demaudeurs davraient envisagar ci’ent‘ever tie teiies dannées a caS‘BCtQK‘.
`parsannei des documesnts avant tie {85 soumetii‘e 3 FUSE-“TO. Le szétitiomaire / demandetsr est informé: que: tee dossier d‘u ne dementia de brevet
`est miss a is: disposition du pubiic mares pubitcation d3 ia demands: (2: mains qu‘usm demands: tie ncm publication corti’ormémeni a 3? CFR 1.213
`(a) suit iaite dams ta demande} nu earn-i=5; ta déiiwasmea d‘us; breve-t. En wire, Ea dossier dime demands abandnmée pent aussi éts‘e miss {a la
`disposition iiu pubiic si ia demands est réféa‘encéa clans we demands: pubiiée nu un breve: fiélivré (weir 3?“ CFR 'i ,1. 4), Las tormuiaires PTO~
`2938 d’aumrisaiion tie chéqus: 9:1 (53 caste: tie stéciit seumis at «Sea fins d6 paiement we sent pas consewés dams fie dsssier des demande at 538
`mm dent: pas accessibies 8U mimic.
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`3
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`9etitioneriappiizsant is cautioned to avoid submitting personai informaiion in dscumenta fiied in a patent appticatéan that may contribute to identity
`thafi. Pamonat information such 35 sacks} security numbers. bank accoum numbeafi, 03‘ credit cam mimhers {miter than :2 check m credit 63rd
`authoiizatien tam: PTO~3033 submitted far paymeni purposes} is never requimci by the U8PTO ts auppm‘t a paiiiien 01‘ an application, if this type
`of pat-sens! iniormation is inctuded in documents. submitted t0 the USPTC}. petitionersi’appiicams shouici cousider redaciing such gaersssznai
`information {mm the documents before submitting them to the USPTO. Petitioner/appticant 35 advise-5 that the regard of a patent appficaiion is
`avaitabis to the Quintin after pubiication of the appiicatiota {uni-35$ a smn-pubiication request in compiience with 3? CFR 1.2mm) is; matie in the
`appiicatimn} or isssnartee of a patent. Fut‘t‘rsezmora. the i-‘eccrd from an ahandoned appiinsaiiofl may 2335-1) be avaiiabte is the pubiir; if tha appiication
`is; referenced in a pubiishad apptication ar an issued patent (see 3? CFR 1.14}. Checks and credit mid auiharization foams; mamas asunmittesd
`for a mem ptsroessess are {29
`ggiigaiian fiie and therefore are not Qubiicig avaiiahiee.
`___________________________________________
`NONI D’ETAT CiVii. {JE L’ENVENTEUR
`LEGAL NAME 0? iNVENTOR
`
`.inventetir :
`inventor: Leonid KCTOV‘
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`.
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`_
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`\_ ,3
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`Desi-3 (iaauitatif)
`ill-ate: (@miW}E-_
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`Signaturfi :
`Signature
`N8: Une fictm de dc-tmées pour fa den aide {PTOJAi/V14 on équtvatent}. y (zen-mm hammer t‘ensembie tie i’enflté inventive. suit acconmagnsr ce
`tonnatiaire.
`Liiiiiser am formuiaire PTOiAENOi pour cheque. fermuiaire suppi-émentaire.
`Nam: An angiiication data shsai (PTOIAiAiM or equivaient). inciuding naming the entire irwetziive entity. must accempany {his i‘orm. Use an additinnai
`PTQIAiAim form for each additions: inventor.
`
`Thi-t coitadinn of informatian is required by 35 use, M5 and 3? C-FR 1,83. The infarmation is required (a ubtatn or retain a benefit by the pubiic which is ta tiie (and by the
`u.
`(3 t0 pro-sass} an wpficafion. Confidentiaitiy :2- gouemad by as USO. 122 and 3'! CFR 1. ti and M4. This animator: is. estimated to take“. minute to comptam
`
`in .. . ng gsthafing. preparing. and submitting the comptetass apptirzation farm (a the LISPTG. Tints. \u‘tié van; depending upon the individual case. Any comments on the. amount
`a! time yuu requires to complete this form andmr suggestions is; teaming this human, shcuict be sent ta the Chief infomafim Offices. US. Patent and Tsadamark Office. U5.
`Dapartmen: of Ccmmame, “9.0. Box 1450, Atmsmdtta, VA 223134<35Q DO NOT SEN!) FEE-S 0R COMPLETED FORMS To THiS AQDRESS. $535353 '33:
`Cammissiaster m Patents, 9.0. Sex 3459, Atexandn'a, VA 223134456.
`am“!
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`if ya; need assislzsnce in carnvieiing Hm ion». as]! ivSOO~PTDv$T§9 and sweat option 2.
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`PTOIAEAIW (tie-12)
`Approved for use thrnugh 0123112014. 0M8 eesruoosz
`US. Patent and Trademark amaze: LES. DEPARTMENT OF COMMERCE
`in» Nrwqrig Reduciien Ad at 1%5, _W rmuiredto re » rand to e miiectierr of irrfdrmetidn uniese it oemaine a vaEid OMB mntmi number.
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`: n tent que i‘inversteur ndrnme cindeeedue. je déciere per ie presente que :
`As the beiew named invenier, i hereby (Seder-e that:
`Cede decimation
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`is} addressee
`313353 deciarafim
`35 ggrecged €03
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`La dementia ci-ininie, an:
`The attached eppiirsaiinn, or
`Le numém de dementia USA at: de demande intemeiisrieie PCT “
`United Siates appiicaiion er PCT irriernaiionai appiicetion number
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`5 Le demande ideniifiée (ii-deems a éié E'eite cu auterieée a éire inite par moi.
`=The abeve—ideniiiied eppiica‘iidri was made or eutherized id be made by me.
`
`Je suis canvairreuie} cane je suis i'invenieur d’erigine on an mihventeur d‘origine d’une invention revendiquee dens ia demande.
`i beiieve that i am the edginai invenier or an nriginai join! invernor of a eieirned Enveniien in the ephiicatien.
`Je remnnais par la presehte qua Route décieratim mensengere feite voieniairement dens eerie déeiaraiien est punisrsabie en vertu de 53 iei 16 LESC mm
`par une emende cu en emprisonnerneni de gee pins de cine. (5} ans. cu tee dew.
`E hereby aeknewiedge that any wiiiiui false statement made in this deciaratien is punisizabie under 13 use. mm by fine er imprisonment ef not mere
`{hen five {5) years, er bath.
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`3
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`AVER‘T‘ESSEMENT :
`WARNMG:
`
`Le eéiiiidnneire / demandeur est prie d'éviier de seumei‘ire ties sinnnéses; 2‘s careerére persennei dens ies easements depdeee dens une dementia
`de brevet pouvani wniribuer a i’usurpetien d‘ideniiie. Les cameras .21 caractére pereennei ieie due ies humerus tie eécuriié sedate, iee numéms de ,
`comptes banceires, eu ies numeros de caries de credit (entire eu'un formuieire PTQ~203§3 d'euierisaiien de cheque ou de eerie de credii sedmie
`a des fine de eeiernent) ne semi iamaie requis per i'USP’i'G pew epeuyer une pétitien eu un deem, Si Gee types de donnees a mraeiere persenriei
`sent inciuee dens fies deeumenis senmis e i‘USF‘TQ, ies peiiiiennaires ldemandeure devraierai envisager d’eniever de ieiies domeee a caraeieie
`_peresznnei deer; deeumenis event tie ies edurneiire a E’USPTC). Le peritienneire idemendeur est inferme ewe ie deeeier d‘une demande de brevei
`est mis a ia dispesiiion du public spree pubiicetion tie ie demande (a mains qu'une demende de nan pubiiceiien cenfarmément a 3?“ CFR 1.213
`(a) soit feiie dens id demende} eu apres Ea déiivrenee d‘un hrevei. En wire, Ee deseier d‘urre denier-idea ebehddnnee neui ausei eire MES 52 ie
`dieeesiticn du pubiie si Ea demende est referencee dens sine demande pubiiee du we brevet déiivre (weir 37 CFR 1.14). Lee innnuiairee PTO-
`2638 d’enidriseiien de eheque en de eerie de credit soumie a des fins de paiement ne sent pas conserves dare ie dcssier de demande at me
`Fermi dent: pas aceessitzies an pubiic.
`
`Petitionefleppiiqam is mutiened it: eveid submitting persdnei infermeiidn in decumehte flied in e peient eppiicaiinn that may centribute id ideniiiy
`iheii. Pereenai informeiien such as eeciei eecurity numbers. bank amour-ii numbers, or credit nerd numbers (diner ihan a Greek er credit card
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`aveiiebie id ine pubiic afier pubiieeiien ef the appiieaiieh (eniese e nannpubiiceiien request in edmniianee with 37 {ii-"R 1.213(a) is made in the
`eppiiceiion) er issuance 01‘ a patent. Funhermere, ihe reward from an abandoned eppiisaiien may aiee be avaiiebie ie the pubiie if the appiicaiion
`_ie referenced in a pubiisned eppiiseiien car an iszsued peient (see 3? QFR 1.14}. Checks and credit card autherization tonne FTC-2838 eubmitied
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`ferigeymeni {Regimes are it
`tried in the av iiieetien iiie enginerefere are net whitish eveiiahie.
`NGM D'E‘TAT cm. DE L'iNVENTEUR
`LEGAL NAME QF iNVENTQR
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`Invenieur :
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`Sig mature :W
`Signature: m““WW“
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`OIAHNM w equiveieni}. y oompns hammer i’ensemisie rie i'entité inventive, deii emernpagner ce
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`fermeiiaire. Utiiieer un fermuiaire PTQIAEAICN pour cheque fermeieire suppiementaire.
`ENeie: An appiiceiican date eheei (PTQIAEAI‘M er equivaierii), indiuding naming the entire inventive eniiiy, must aucdmpehy this farm. Use an additisnai
`PTO/WNW Tenn far each additienei invenier.
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`This wiierriiun :7? infurmaticn is required by 135 USC. ‘i 15- and 37' CPR 1.63. The informatican is required to detain ctr retain a benefit by the pubiic which is ta- iiie (and by the
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