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PATENT APPLICATION FEE DETERMINATION RECORD 
Effective December 8. 2004 - 



CLAIMS AS FILED - PART I 



TOTAL CLAIMS 








NUMBER ttLEO 


NUMBS* EXTRA 


TOTAL CHARGEABLE CLAIMS 


minus 20= 


* 


INDEPENDENT CLAIMS 


- roijius 3 3 


* 


MULTIPLE DEPENDENT CLAIM PRESENT r~>S\ /? *1 n 



* If the difference in column i is leas lhan zero, enter "0* in column 2 
CLAIMS AS AMENDED - PART II 



ENTA 




CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
PAJO FOfl 


PRESENT 
EXTRA 


NDM 


Total. 






Minus 


-9ft 


71 — 


Ul 

1 


Independent 


* 




Minus 


~w 






FIRST PRESENTAf 


ION OF MULTIPLE DEPENDENT CLAIM 








(Column 1) * 




(Column 2) 


(Column 3) 


ENTB 




CLAIMS 
REMAINING 

AFTER 
AMENOMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
* PAID FOR 


PRESENT 
EXTRA 


2 
O 
2 


Total* 


* 


Minus 


*r 




ME 


Independent 


* 


Minus 


**• 


* 


. 


FIRST "PRESENTATION OF MULTIPLE DEPENDENT CLAIM 


□ 






(Column 1>- 




(Column 2) - 


(Column 3) 


O 

Ul 




CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 


2 
Q 
Z 


Total 


* 


Minus 


** 




Ul 

2 


Independent 


* 


Minus 






< 


FIRST PRESENTATION OF MULTIPLE OE PENDENT CLAIM 


□ 



SMALL ENTITY OTHER THAN 

™PE O OR SMALL ENTITY 



RATE 


FEE 




RATE 


FEE 


BASIC FEI 




OR 


BASIC F££ 




X$25= 




OR 


X$50- 




X100= 




np 

wn 


X200= 




♦180= 




OA 


4360= 




TOTAL 




on 


TOTAL 




SMALL ENTITY 




OTHER THAW 
SMALL ENTITY 


RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 






OR 


X$50= 




X100« 




OR 


X200= 




* 180= 




OR 


+360- 




TOTAL 
AOOIT. FFF 




OR 


. TOTAL 
AOOIT. FEE 












RATE 


AOOI* 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$25r 




OR 


X$50= 




X100= 




OR 


X200* 




♦ 100= 




OR 


4360* 




YStal 

A00IT. FEE 




QR . TOTAL 














RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$25= 




OR 


X$50= 




X100* 




OR 


X200= 




+160= 




DR 


4360s 





United States Patent and Trademark Office 

- Sales Receipt - • 

04/20/2006 JBROOKS 00000002 090468 08479810 

01 FC:1254 1590.00 DA