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PATENT APPLICATION FEE DETERMINATION RECORD 

Effective December 8, 2004 




CLAIMS AS FILED - PART I 



TOTAL CLAIMS 






FOR 


NUMBER FILED 


NUMBER EXTRA 


TOTAL CHARGEABLE CUMMS 


,2l^Tiinus 20= 


* 0 


INDEPENDENT CLAIMS 


I^Vj minus 3 = 


* 0) 


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) 


ENTA 1 




CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
FOR 


PRESENT 
EXTRA 


; z 


Total 




Minus 








= ^ 




Independent 


• ^ 


Minus 








< 


FIRST PRESENTATION OF MULTIPLE DEPENDENT CLMM 


□ 






(Column 1) 




(Column 2) 


(Column 3) 


ENTB 




CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER^ . 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 




Total 


* 


Minus 


** 




,MEI 


Independent 


* 


Minus 






<t 


FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM 


□ 






(Column 1 ) 




(Column 2) 


(Column 3) 


ENTC 




CLAIMS 
REMAINING 

AFTER 
AMENDMENT 




HIGHEST 
NUMBER 
PREVIOUSLY 
PAID FOR 


PRESENT 
EXTRA 


Hm 


Total 


* 


Minus 


** 






Independent 


* 


Minus 








FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM 


□ 



SMALL ENTI 



OTHER THAN 



TYPE 1 


_J ^ 


nAI t 


rcc 


oASiC rbb 


1 oU/.UU 


X$ 25= 




X100= 




+ 180= 


J/' 


TOTAL 





OR 
OR 
OR 
OR 



RATE 


FEE 


BASIC FEE 


3 


00.00 
[ 


X$50= 






X200= 






+360= 






TOTAL 







OTHER THAN 
SMALL ENTITY OR SMALL ENTITY 



RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$ 25= 




OR 


X$50= 






XI 00= 




OR 


X200= 






+ 180= 


i 


OR 


+360= 




1 


TOTAL 
ADDIT. FEE 




OR 


TOTAL 
ADDIT FEE 







RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$ 25= 




OR 


X$50= 




XI 00= 




OR 


X200= 




+ 180= 




OR 


+360= 




TOTAL 
ADDIT. FEE 




OR 


TOTAL 
ADDIT FEE 





RATE 


ADDI- 
TIONAL 
FEE 




RATE 


ADDI- 
TIONAL 
FEE 


X$25= 




OR 


X$50= 




X100= 




OR 


X200= 




+180= 




OR 


+360= 













1 



PATBIT APPLICATION FEE 0ETERIie!?i1TI0N RECORD 
EBsctive October 1, 2001 



AppOcaflon or Dodtflt Nufflbor 



CLAIMS AS FILED • PART I 



TOTAL CLAWS 












TOfTM.CHAMeAa£ CLWUS 


i3 ^'Tidittis 20> 










|yltftfnPtB6EP6W8<FCMIHP(ICS0lt — -Q--' 



SUAlLENTTPr 
TYPE 



OmERTHAN 
OR SMALL QfTTTY 



* B ffw (Sierence In oelunpt 1 is less than zm, erittf 'TT h aaimn 2 
CLAIMS AS AUENDEO • PART U 

1 ) (Ctfumna 



iTeial 



I tadipsndttt 



IHRST 



PREsa«mnGMO 




llndcpAndent 



'unw 11 




torn 



— NUyBER-. 

meviousur 



^32 



Calunma 



emu 



lnRSTPRESeHT«nONO^MULTlPU»OEPeW£MT<X*JM 









rCbtuiraiS] 


(Columns) 


f 

ri 




REWUNMO 

Ami 

«MEMtMa«T 




NUUSCA 
PDEVBlUSUr 

miopoa 


FRESEHT 

emu 


I 






Ifim 


- 




n 




* /o 










1 RRST mCSSmnON 0> iULTIPlE O^SKOEtfr CLMM 





* 8McmrtteaMnlblM«0aa(Mai«y*>cgluni%a>t»Trii«Ann3. 

• 8 »• W»t Iftidte PNMoutfy Paw Fa* W IMS SMCe b Ian tfoa XIL <ntv -Ml* 

«-tf a* i^Mt kbnte fMouiy Mi ^ M IMS snice b iBssan a Mtf V 

TIM l^taa MuBbar taiitatfy nr (M or MwMcao bM NtfM luiMr 



RATE 


FEE 






PEE 


USKfS 




OR 


USBfCC 


74aoo 






OR 










(W 


XB4a 








OR 






TOTAL 




OR 


TOTAL 




SHALL E»mTY 


OR 


OTHER THAN 
SMALL ENTTTY 


RATE 


.AOO- 
rONAL 
en) 




RATE 


Aun- 

TIONAL 


XS9« 




OR 


Xtl8- 




X42- 




OR 










OR 






' TWL 




OR 
















"tart' 


ApOt- 
FEE 




'ftifE- 


A00>- 

TlblNAL 
FEE 






OR 






X43> 




OR 


X84s 








OR 


♦2B0s 




TOTM. 








too 












RATE 


AOOl* 
nONAL 




fWE 


AOOI- 
T10NAL 






OR 
















♦140- ' 




dR 


'♦2803 








OR 


TOUU.