Complete and serid tfi
PART B - FEE(S) TRANSMITTAL
is form, tocher with applicable fee(s), to: Mail
Mail Stop ISSUE FEE
Commissioner for Patents
P.O. Box 1450
Alexandria, Virginia 22313-1450
INSTRUCTIONS: This^N^^lwuldJi^ised for transmitting the ISSUE FEE and PUBLICATION FEE (if required). Blocks 1 through 5 should be completed where
appropriate. All further con ^Wsa2 »Tncluding the Patent, advance orders and notification of maintenance fees will be mailed to the current correspondence address as
indicated unless corrected below or directed otherwise in Block 1 , by (a) specifying a new correspondence address; and/or (b) indicating a separate "FEE ADDRESS" for
maintenance fee notifications.
CURRENT CORRESPONDENCE ADDRESS (Note: Use Block 1 for any change of address)
DEPARTMENT OF THE AIR FORCE
2240 B ST., RM. 100
WRIGHT-PATTERSON AFB, OH 45433-7109
Note: A certificate of mailing can only be used for domestic mailings of the
Fee(s) Transmittal. This certificate cannot be used for any other accompanying
papers. Each additional paper, such as an assignment or formal drawing, must
nave its own certificate of mailing or transmission.
Certificate of Mailing or Transmission
I hereby certify that this Feefs) Transmittal is being deposited with the United
States Postal Service with sufficient postage for first class mail in an envelope
addressed to the Mail Stop ISSUE FEE address above, or being facsimile
transmitted to the USPTO (703) 746-4000, on the date indicated below.
05/11/2005 TBESHAH2 00000004 010465
01 FC.-1501 moo.00 Dfl
FIRST NAMED INVENTOR
ATTORNEY DOCKET NO.
John L. Cesulka
TITLE OF INVENTION: SHOCK HARDENED MOUNTING AND COOLING OF A SEMICONDUCTOR DEVICE
TOTAL FEE(S) DUE
OWENS, DOUGLAS W
1. Change of correspondence address or indication of "Fee Address" (37
Change of correspondence address (or Change of Correspondence
Address form PTO/SB/ 1 22) attached.
□ "Fee Address" indication (or "Fee Address" Indication form
PTO/SB/47; Rev 03-02 or more recent) attached. Use of a Customer
Number is required.
2. For printing on the patent front page, list
(1) the names of up to 3 registered patent attorneys
or agents OR, alternatively,
(2) the name of a single firm (having as a member a
registered attorney or agent) and the names of up to
2 registered patent attorneys or agents. If no name is
listed, no name will be printed.
2 Gerald B. Hoi 1 ins
3. ASSIGNEE NAME AND RESIDENCE DATA TO BE PRINTED ON THE PATENT (print or type)
recordation as set
: Unless an assignee is identified below, no assignee data will appear on the patent. If an assignee
t forth in 37 CFR 3. 1 1 . Completion of this form is NOT a substitute for filing an assignment.
(B) RESIDENCE: (CITY and STATE OR COUNTRY)
is identified below, ffigdocfinjjfcnt h^^een filed for
(A) NAME OF ASSIGNEE
United States of America as repre
sented by the Secretary of the Air Wright-Patterson Air Force Bass, <2i m
Force _ _ w 5? O
Please check the appropriate assignee category or categories (will not be printed on the patent) : '—I Individual LJ Corporation or other private group entity UU Government
4a. The following fee(s) are enclosed:
S3 Issue Fee
Q Publication Fee (No small entity discount permitted)
Q Advance Order - # of Copies
4b. Payment of Fee(s): :
Q A check in the amount of the fee(s) is enclosed.
□ Payment by credit card. Form PTO-2038 is attached.
GO The Director is hereby authorized by/JlSLrge the required fee(s), or credit any overpayment, to
Deposit Account Number Ar 01 -0465 (enclose an extra copy of this form).
5. Change in Entity Status (from status indicated above)
□ a. Applicant claims SMALL ENTITY status. See 37 CFR 1.27.
□ b. Applicant is no longer claiming SMALL ENTITY status. See 37 CFR 1.27(g)(2).
The Director of the USPTO is requested to apply the Issue Fee and Publication Fee (if any) or to re-apply any previously paid issue fee to the application identified above.
NOTE: The Issue Fee and Publication Fee (if required) will not be accepted from anyone other than the applicant; a registered attorney or agent; or the assignee or other party in
interest as shown by the records of the United States Patent and Trademark Office.
Authorized Signature _
Typed or printed name EREDRIC L. SINDER
This collection of information is required by 37 CFR 1.311. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process)
an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. Tnis collection is estimated to take 12 minutes to complete, including gathering, preparing, and
submitting the completed application form to the USPTO. Time will varv depending upon the individual case. Any comments on the amount of time you require to complete
this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O.
Box 1450, Alexandria, Virginia 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450,
Alexandria, Virginia 22313-1450.
Under the Paperwork Reduction Act of 1 995, no persons are required to respond to a collection of information unless it displays a valid OMB control number.
PTOL-85 (Rev. 12/04) Approved for use through 04/30/2007.
OMB 0651-0033 U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE