PTO/AlA/08(l1-15)
`Approved for use through 41301201 7. OMB 0651-0032
`US. Patent and Trademark Office; us. DEPARTMENT OF COMMERCE
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`DECLARATION w- Utility or Design Patent Application
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`WARNING:
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`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft. Personal information such as social security numbers, bank account numbers. or credit card numbers
`(other than a check or credit card authorization form PTO-2038 submitted tor payment purposes) is never required by the USPTO
`to support a petition or an application if this type of personal information is included in documents submitted to the USPTO,
`petitioners/applicants should consider redactlng such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication oi the
`application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned application may also be available to the public it the application is referenced
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`PTO~2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
`Petitioner/applicant is advised that documents which form the record ol a patent application (such as the PTO/$8101) are placed
`into the Privacy Act system of records DEPARTMENT OF COMMERCE, COMMERCE-PAT—7, System name: Patent Application
`. Files. Documents not retained in an application tile (such as the PTO-2038) are placed into the Privacy Act system of
`COMMERC E/PATeTM-t 0, System name: Deposit Accounts and Electronic Funds Transfer Profiles.
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`LEGAL NAME OF SOLE OR FIRST lNVENTOR:
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`g, ivenName (first and middle ii any) and Family Name or §u meme)
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`E] Additional inventors are being named on the
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