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Express Mail Label No. /Q ^ ^ Pa 9e 1 of 4 



Docket No. 



JUL 0 7 2004 

Declaration and Power of Attorney For Patent Application 

English Language Declaration 

As a below named inventor, I hereby declare that: 

My residence, post office address and citizenship are as stated below next to my name, 

I believe I am the original, first and sole inventor (if only one name is listed below) or an original, 
first and joint inventor (if plural names are listed below) of the subject matter which is claimed and for 
which a patent is sought on the invention entitled 

LIQUID DISPENSING DEVICE 

the specification of which 

(check one) 

□ is attached hereto. 

E3 was filed on 01/24/2004 as United States Application No. or PCT International 

Application Number 10/764,710 • 



and was amended on 



(if applicable) 



I hereby state that I have reviewed and understand the contents of the above identified specification, 
including the claims, as amended by any amendment referred to above. 

I acknowledge the duty to disclose information which is material to patentability as defined in 37 CFR 
1.56, including for continuation-in-part applications, material information which became available 
between the filing date of the prior application and the national or PCT international filing date of the 
continuation-in-part application. 

I hereby claim foreign priority benefits under 35 U.S.C. 119(a)-(d) or (f), or 365(b) of any foreign 
application(s) for patent, or plant breeder's rights certificate(s), or 365(a) of any PCT International 
application which designated at least one country other than the United States of America, listed 
below and have also identified below, by checking the box, any foreign application for patent, 
inventor's or plant breeder's rights certificate(s), or any PCT international application having a filing 
date before that of the application on which priority is claimed. 

Prior Foreign Application(s) Priority Not Claimed 



(Number) (Country) (Day/Month/Year Filed) 



(Number) (Country) (Day/Month/Year Filed) 



□ 
□ 



(Number) (Country) (Day/Month/Year Filed) 



Form PTO-SB-01 (9-95) (Modified) 



P02/REV02 



Patent and Trademark Offlce-U.S, DEPARTMENT OF COMMERCE 



• ■ - Page 2 of 4 

I hereby claim the benefit under 35 U.S.C. Section 119(e) of any United States provisional 
application(s) listed below: 



(Application Serial No ) 


vrinng uate) 


(Application Serial No.) 


(Filing Date) 



(Application Serial No.) (Filing Date) 

I hereby claim the benefit under 35 U. S. C. Section 120 of any United States application(s), or 
Section 365(c) of any PCT International application designating the United States, listed below and, 
insofar as the subject matter of each of the claims of this application is hot disclosed in the prior 
United States or PCT International application in the manner provided by the first paragraph of 35 
U.S.C. Section 112, I acknowledge the duty to disclose to the United States Patent and Trademark 
Office all information known to me to be material to patentability as defined in Title 37, C. F. R., 
Section 1.56 which became available between the filing date of the prior application and the national 
or PCT International filing date of this application: 



(Application Serial No.) 


(Filing Date) 


(Status) 






(patented, pending, abandoned) 


(Application Serial No.) 


(Filing Date) 


(Status) 






(patented, pending, abandoned) 



(Application Serial No.) (Filing Date) (Status) 

(patented, pending, abandoned) 



I hereby declare that all statements made herein of my own knowledge are true and that all 
statements made on information and belief are believed to be true; and further that these statements 
were made with the knowledge that willful false statements and the like so made are punishable by 
fine or imprisonment, or both, under Section 1001 of Title 18 of the United States Code and that such 
willful false statements may jeopardize the validity of the application or any patent issued thereon. 



Form PTO-SB-01 (6-95) (Modified) 



Patent and Trademark Offlce-U.S. DEPARTMENT OF 



Page 3 of 4 



POWER OF ATTORNEY: As a named inventor, I hereby appoint the following attorney(s) and/or 
agent(s) to prosecute this application and transact all business in the Patent and Trademark Office 
connected therewith . (list name and registration number) 
John R. Ross, III (regis, no. 43060) 
John R. Ross (regis, no. 30530) 



Send Correspondence to: John R - Ro * s > m 

Ross Patent Law Office 

P.O. Box 2138 

Del Mar, CA 92014 



Direct Telephone Calls to: (name and telephone number) 

John R. Ross, m 858-755-3122 FAX: 858-755-3122 



Full name of sole or first inventor _ ' — 




Sole or first invenjcf^sj&natoe 



Residence 



Citizenship 

uS 



Post Office Address 

1382-5 7e(L(L\u&£ ~X><L "poi^fi,Y CA ^i.oG'j 



Full name of second inventor, if any 




John A. Adams 




Second inventor^ signatuift 


Date 


Residency 




Escondfflo, CA 




Citizenship 




US 




Post Office Address 




9785 Running Creek Lane, Escondido, CA 92026 







Form PTO-SB-01 (6-95) (Modified) 



Patent and Trademark Office-U.S. DEPARTMENT OF 



Page 4 of 4 



Full name of third inventor, if any 
Brian L. Ganz 



Third inventor's signature^" 




Date . 



Residence 
Carlsbad, CA 



Citizenship 
US 



Post Office Address 

7057 Leeward St., Carlsbad, CA 92009 



Full name of fourth inventor, if any 
David W. Jewel 




Residence 
San Diego, CA 



Citizenship 
United Kingdom 



Post Office Address 

4019 Carmel View Rd., #156, San Diego, CA 92130 



Full name of fifth inventor, if any 
John Andrew Moulds 




Fifth inventor's signatui 



Residence 
Encinitas, CA 



Citizenship 
US 



Post Office Address 

423 Jolina Way, Encinitas, CA 92024 



Full name of sixth inventor, if any 
Janet M. Newman 






SMh inventorte sigcfeture 




Date 








j Residence 

V (Z- v\c\ /v * VtoO > Cft 


Citizenship 


Post Office Address 









Form PTO-SB-01 (6-95) (Modified) 



Patent and Trademark Offlce-U.S. DEPARTMENT OF