PTO/SB/16 (12-08)
`Approvedfor use through 06/30/2010. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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`PROVISIONAL APPLICATION FOR PATENT COVER SHEET- Page1 of 2
`This is a requestforfiling a PROVISIONAL APPLICATION FOR PATENTunder 37 CFR 1.53(c).
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`Given Name(first and middie[if any]
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`Yoshitaka
`Awe
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`Takashi
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`YDOMARI
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`INVENTOR(S) _
` esidence
`: Family Nameor Surname —
`__(Cityand either State or Foreign Country)_
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`_ Hyogo, Japan
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`| Hyogo,Japan
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`|Additionalinventorsarebeingnamedonthe separately numberedsheetsattachedhereto.
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`TITLE OF THE INVENTION (500 characters max):
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`- Direct all correspondenceto:
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`CSRRESPONDENCE ADDRESS
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`The address corresponding to Customer Number:
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` “ENCLOSED APPLICATION PARTS (checkafl that apply)
`Application Data Sheet. See 37 CFR 1.76
`L_] p(s), Numberof CDs
`Drawing(s) Numberof Sheets_10
`Other(specify)Authorization Under 37 C.F.R.1.136(a)G)
`Authorization t6 Pefnit Access to Applicationby
`Participating Offices (PTO/SB/39)
`Specification (e.g. description of the invention) Number of Pages _24
`Fees Due:Filing Fee of $220 ($110 for small entity).
`If the specification and drawings exceed 100 sheets of paper, an application size fee is
`§ also due, which is $270 ($135for small entity) for each additional 50 sheets orfraction thereof. See 35 U.S.C. Ai(ay \(G) and 37 CFR 1.16(s).
`METHOD OF PAYMENTOFTHE FILING FEE AND APPLICATION SIZE FEE FOR THIS PROVISIONAL APPLICATION FOR PATENT
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`[__] Applicant claims small entity status. See 37 CFR 1.27.
`| Acheck or money order made payable to the Directorofthe United States Patent and Trademark Office
`is enclosed to coverthe filing fee and application size fee (if applicable).
`Paymentbycredit card. Form PTO-2038is attached.
`The Director is hereby authorized to chargethefiling fee and application size fee (if applicable) or credit any overpaymentto Deposit
`Account Number:19-0036
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`330.00
`:
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`TOTAL FEE AMOUNT($)
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`USE ONLY FORFILING A PROVISIONAL APPLICATION FOR PATENT
`This collection of information is required by 37 CFR 1.51. Theinformation is required to obtain or retain a benefit by the public whichis to file (and by the USPTO to.
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`PROVISIONAL APPLICATION COVER SHEET
`Page 2 of 2
`
`FPTO/SB/16 (12-08)
`Approved for use through 06/30/2019, OMB 0854-0032
`US, Patent and Trademark Office, U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1905, no persons are required ta respond to a collection of information unlessit displays a valid OMB contral number,
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`[| Yes, the name of the US. Government agency and the Government contract number ares
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`WARNING:
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` SIGNATURE |
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`TYPEDor PRINTED NAME johnTHeran
`
`OREGISTRATIONNO.38.010
`(Ff appropriate}
`(202) 371-2600. Rocket Number: 0666.4720000/TGDJAH/GCP
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