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1 

COMBINED DECLARATION AND POWER OF ATTORNEY 

• Declaration submitted Attorney Docket: IL-11206 

with Initial Filing Applicant: Mariam N. Maghribi, et al. 

□ Declaration submitted Serial No.: 

after Initial Filing (surcharge Filing Date: 
(37 CFR 1.16(e)) required) 

As a below named inventor(s), I (we) hereby declare that: 

My (Our) residence, post office address and citizenship(s) are as stated below next to my 
(our) name(s). 

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 entided: 

STRETCHABLE POLYMER-BASED ELECTRONIC DEVICE 

the specification of which (check one) 

Xis attached hereto was filed on as United States Application 

Number or PCT International Application Number 

and was amended on (if applicable). 

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

I (We) acknowledge the duty to disclose information which is material to patentability as 
defined in 37 CFR 1.56. 

I (We) hereby claim foreign priority benefits under 35, U.S.C. 1 19(a)-(d) or 365(b) of any 
foreign application(s) for patent or inventor's certificate, 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 or 
inventor's certificate, or of 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 

□ 

(Application Number) (Country) (Foreign Filing Date) 
□ 



I (We) hereby claim the benefit under 35 U.S.C. 1 19(e) of any United States provisional 
application(s) listed below: 

60/467.000 04/30/03 

Application Serial No. Filing Date 



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\ 

f 



Attorney Docket: IL-11206 

I (We) hereby claim the benefit under 35 U.S.C. 120 of any United States applications(s), or 365(c) 
of any PCT international application designating the United States of America, listed below and, 
insofar as the subject matter of each of the claims of this application is not disclosed in the prior 
United States or PCT international application in the manner provided by the first paragraph of 35 
U.S.C. 1 12, 1 acknowledge the duty to disclose information which is material to patentability as 
defined in 37 CFR 1.56 which became available between the filing date of the prior application and 
the national or PCT international filing date of this application. 



NONE 



Application Serial No. Filing Date 




Status 


POWER OF ATTORNEY: As the named inventor(s), I (we) hereby appoint the following 
registered practitioner(s) to prosecute this application, and to transact all business connected 
therewith, in any patent office, U.S. or foreign. 


Names: Reg. No. 


Name: Reg. No. 


Alan H. Thompson 29,98 1 
Michael C. Staggs 50,938 
Ann Marie Lee 47,741 


Eddie E. Scott 25,220 
James S. Tak 46,367 
John H. Lee 53,193 


Direct Correspondence To: 
Eddie E. Scott 

Assistant Laboratory Counsel 
Lawrence Livermore National Laboratory 
P.O. Box 808, L-703 
Livermore, California 94551 


Direct Telephone Calls To: 

Eddie E. Scott 
(925) 424-6897 



DECLARATION 



I (We) 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 fiirther that these 
statements were made with the knowledge that willful false statements and the like so made are 
punishable by fine or imprisormient, or both, under 18 U.S.C. 1001 and that such willfiil false 
statements may jeopardize the validity of the application or any patent issued thereon. 



First Inventor 



Mariam N. Maghribi 




Full Name of Inventor 


SignatuiT ' 


Livermore, California 


Date: ll<ilUi(>i 


Residence (City, State or Foreign Country) 




1889 Mill Springs Com, Livermore, California 94550 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 



-2- 




Second Inventor 



Attorney Docket: IL-11206 



Peter A. Krulevitch 


See page 4 


Full Name of Inventor 


Signature 


Pleasanton, California 


Date: 


Residence (City, State or Foreign Country) 




1122 Division St., Pleasanton, California 94566 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Third Inventor ^ 


James Courtney Davidson 




Full Name of Inventor ^ 




Livermore, California 


Date: ^-WOif 


Residence (City, State or Foreign Country) 




5816 Arlene Way, Livermore, California 94550 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Fourth Inventor _ 


Thomas S. Wilson 


QJc^^Jfl/^ — 


Full Name of Inventor 


Signature 


Castro Valley, California 


Date: ^//b/oY 


Residence (City, State or Foreign Country) 




16708 Kildare Road, Castro Valley, California 94578 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Fifth Inventor / 


Julie K. Hamilton 




Full Name of Inventor 


1 Signature 


Tracy, California 


dW: A-S'0<^ 


Residence (City, State or Foreign Country) 




441 McDowell Way, Tracy, California 95377 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Sixth Inventor 


William J. Benett 




Full Name of Inventor 


(/ Signature 


Livermore, California 


Date: -{/pc/a^ 


Residence (City, State or Foreign Country) 




2205 Vintage Lane, Livermore, California 94550 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 



-3- 



Attorney Docket: IL-11206 



Second Inven 


or 


Peter A. ICriilevitch 




Full Name of Inventor 


/ Signature 


Pleasanton, California 


Date: 2.-^ - oy 


Residence (City, State or Foreign Country) 




1122 Division St, Pleasanton, California 94566 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Third Inventor 


James Courtney Davidson 




Full Name of Inventor 


Signature 


Livermore, California 


Date: 


Residence (City, State or Foreign Country) 




5816 Arlene Way, Livermore, California 94550 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Fourth Inventor 


Thomas S. Wilson 




Full Name of Inventor 


Signature 


Castro Valley, California 


Date: 


Residence (City, State or Foreign Country) 




16708 Kildare Road, Castro Valley, California 94578 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Fifth Inventor 


Julie K. Hamilton 




Full Name of Inventor 


Signature 


Tracy, California 


Date: 


Residence (City, State or Foreign Country) 




441 McDowell Way, Tracy, California 95377 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 


Sixth Inventor 


William J. Benett 




Full Name of Inventor 


Signature 


Livermore, California 


Date: 


Residence (City, State or Foreign Country) 




2205 Vintage Lane, Livermore, California 94550 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 



ll^-l -4- 



Attorney Docket: IL-11206 

Seventh Inventor 



Armando R. Tovar 




Full Name of Inventor 


Signature 


San Antonio, Texas 


Date: 3/<^AH 


Residence (City, State or Foreign Country) 




2719 Castabet, San Antonio, Texas 78230 


USA 


Postal Address (Street, City, State, Zip Code) 


Citizenship 



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