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T SS f JE SLIP STAPLE AREA (for additional cross references) 


[ POSITION 

INITIALS 

ID NO- 

DATE 

1 




FEE DETERMINATION V 




O.I.P.E. CLASSIFIER 




FORMALITY REVIEW 


CYC- "l/h 

Ql-fh or 

RESPONSE FORMALITY REVIEW 










INDEX OF CLAIMS 

^ Rejected N Non-elected 

_ Allowed I Interference 

_ (Through numeral)... Canceled A Appeal 

^ Restricted 0 Objected 



Date 


Claim 

Date 


3lai 

nri 




[ 

)ate 






-inal | 
priginal 












Final 
Original 

rs) 











Final 

Original 

<2 
O 










:< 

) 











5 












1 

01 

7 






















5 












1 

02 























5 












1 

1 

03 
04 

7" 
7 










4 
5 












£ 

0 











1 

05 

y 

r 









— 

: 












5 












1 

06 




































07 

J 
V 























»> 












1 08 

/ 



































09 

,/ 

V 










1 

j 











J* 













10 

7 























1 












111 

—f 










1 












e 

? 












112 

/ 










f U 1 












( 

3 












113 




































114 

V 









— 


























115 

/ 

J 



































116 











1 

j 
























117 

1/ 










1 

j 











6 

! 












118 

, / 
1/ 










1 












6 

) 












119 

/ 























>;» 












120 
[=S 

'". 1 























r> 












H21 

1 j 










2 

; 











<7 

■) 












122 

7 










2 

3 












i-> 












123 

J 











4 
























124 

^\ 










2 

5 
























125 

./ 
V 










2 



■r 









<i 














-)/ 











7 











7 

7 












I 27 












8 

r 










7 

3 












<28 











; 

9 












} ) 












129 












0 












% 












130 












1 












i> 












131 












2 












2 












132 












3 











£ 

3 












13C 












4 












X 












1& 























6 

5 












13£ 























£ 

5 












13( 












f) 











f 

7 












13- 

7 











i 











f 

3 












I3E 

i 











) 











-J 

V 












131 

} 











) 












P 












14< 

) 



































14 

1 























32 J 












14 

2 











3 












93 > 

r 











14 

I 























94 ./ 

f 











14 

4 










t' 













95 J 












14 

5 











4 i 












b^v 












14 

5 











4 r 












97 7 












14 

7 











43 












98 J 












14 

6 










< 

?»■} 












99 «y 












14 

9 






















1 

00 v 












15 

0 




I 






If more than 150 claims or 10 actions 
staple additional sheet here 


(LEFT INSIDE)