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Full text of "USPTO Patents Application 09919224"

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UNITED STVTES PATENT & TRADEMARK OFFICE 
Washington, D.C 20231 



REQUEST FOR PATENT FEE REFUND 



1 Date of Request; v , ~ / L f <> TT\ 2 Serial/Patent # 



3 PI ase refund the following fee(s): 



4 PAPER 
NUMBER 



5 DATE 
FILED 



6 AMOUNT 



Filing 



BEST AVAILAB 



COPY 



Amendment 



Extension of Time 



Notice of Appeal/Appeal 



Petition 



V 



Issue 



Cert of Correction/Terminal Disc. 



Maintenance 



Assignment 



Other 



10 REASON: 



7 TOTAL AMOUNT 
OF REFUND 



8 TO BE REFUNDED BY: 



Treasury Check 



Overpayment 



Credit Deposit A/C #: 



Duplicate Payment 



3 


0 








5 


f 



No Fee Due (Explanation) : 



ff' / PUe re 



I'T t 



11 REFUND REQUESTED BY: 



TYPED/PRINTED NAME: 77' i / J'?/ (i J O 

SIGNATURE: _ 

OFFICE: 

*********************** 

THIS SPACE RESERVED EOi 



TITLE: ( t 



PHONE : -ji^' £■ 7 7 



ICE USE ONLY: 






Instructions for completion of this form appear on the bach After completion, attach 
white and yellow copies to the official file and mail or hand-cany to: 



FORM FIX) 1577 
(01/90) 



Office of Finance 
Refund Branch 
Crystal Park One, Room 802B 



BEST AVAILABLE 



PATENT APPLICATION FEE DETERMINATION RECORD 

Effective October 1 , 2000 



V\ppii6^J{i or Docket Number 



CLAIMS AS FILED - PART I 

(Column 1) 



TOTAL CLAIMS 


H 0 


\ , ■. * '•.-» \ * . 


FOR 


NUMBER FILED 


NUMBER EXTRA 


TOTAL CHARGEABLE CLAIMS 


^c/minus 20= 




INDEPENDENT CLAIMS 


minus 3 = 




MULTIPLE DEPENDENT CLAIM PRESENT 


□ 



* If the difference in column 1 is less than zero, enter "0" in column 2 
CLAIMS AS AMENDED - PART II 







(Column 1) 




(Column 2) 


(Column 3) 




'■-'Vr-^:""«jg?' ""*' > .J4 


CLAIMS 
REMAINING 

AFTER 
AMENDMENT 


mmm 


HIGHEST 
NUMBER 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 




Total 


* 


Minus 


** 






Independent 


* 


Minus 


*** 






FIRST PRESE 


NTATION OF MULTIPLE DEPENDENT CLAIM 


□ 






(Column 1) 




(Column 2) 


(Column 3) 


ENTB 


•'- « ■ , ' • 


CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 


NDM 


Total 


* 


Minus 


** 




UJ 


Independent 


* 


Minus 


*** 




< 


FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM 


□ 






(Column 1) 




(Column 2) 


(Column 3) 


ENTC 




I CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 


MDM 


Total 


* 


Minus 


** 




m 


Independent 


* 


Minus 


*** 




< 


FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM 


□ 



* If the entry in column 1 is less than the entry in column 2, write "0" in column 3. 

" If the "Highest Number Previously Paid For" IN THIS SPACE is less than 20, enter "20." 

"*lf the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3." 



SMALL ENTITY 
TYPE I 1 



OTHER THAN 
OR SMALL ENTITY 



RATE 


FEE 




RATF 


FFF 


BASIC FEE 


355.00 


OR 


BASIC FEE 


710.00 


X$ 9= 


2L( 


OR 


X$18= 




X40= 




OR 


X80= 




+135= 




OR 


+270= 




TOTAL 




OR 


TOTAL 




SMALL ENTITY 


OR 


OTHER THAN 
SMALL ENTITY 


RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$ 9= 




OR 


X$18= 




X40= 




OR 


X80= 




+135= 




OR 


+270= 




TOTAL 
ADDIT. FEE 




OR 


TOTAL 
ADDIT. FEE 










RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$ 9= 




OR 


X$18= 




X40= 




OR 


X80= 




+135= 




OR 


+270= 




TOTAL 
ADDIT. FEE 




OR 


TOTAL 
ADDIT. FEE 










RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$ 9= 




OR 


X$18= 




X40= 




OR 


X80= 




+135= 




OR 


+270= 




TOTAL 
ADDIT. FEE 




OR 


TOTAL 
ADDIT. FEE 





The "Highest Number Previously Paid For" (Total or Independent) is the highest number found in the appropriate box in column 1 . 



FORM PTO-875 
(Rev. 8/00) 



Patent and Trademark Office, U.S. DEPARTMENT OF COMMERCE