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`PATENT ASSIGNMENT COVER SHEET
`
`Electronic Version v1.1
`Stylesheet Version v1.2
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`SUBMISSION TYPE:
`
`NEW ASSIGNMENT
`
`NATURE OF CONVEYANCE:
`
`ASSIGNMENT
`
`CONVEYING PARTY DATA
`
`Name
`
`TILAK M. SHAH
`
`RECEIVING PARTY DATA
`
`Name:
`Street Address:
`City:
`State/Country:
`Postal Code:
`
`POLYZEN, INC.
`1041 CLASSIC ROAD
`APEX
`NORTH CAROLINA
`27539
`
`PROPERTY NUMBERS Total: 3
`
`Property Type
`Patent Number:
`Patent Number:
`Patent Number:
`
`6712832
`7682306
`7883491
`
`CORRESPONDENCE DATA
`
`Execution Date
`02/14/2017
`
`Number
`
`Fax Number:
`(919)419-9354
`Phone:
`(919) 419-9350
`Email:
`hip@hultquistip.com
`Correspondence will be sent to the e-mail address first; if that is unsuccessful, it will be sent using a fax number, if provided; if
`that is unsuccessful, it will be sent via US Mail.
`Correspondent Name:
`HULTQUIST, PLLC
`Address Line 1:
`P.O. BOX 14329
`Address Line 4:
`RESEARCH TRIANGLE PK, NORTH CAROLINA 27709
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`ATTORNEY DOCKET NUMBER:
`
`4179-100
`
`NAME OF SUBMITTER:
`
`STEVEN J. HULTQUIST
`
`Signature:
`
`Date:
`
`/steven j. hultquist/
`
`02/14/2017
`
`file:///C:/Users/kkenny/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Fil...
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`2/14/2017
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`
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`Assignment
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`Page 2 of 2
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`Total Attachments: 1
`source=(108) (02-14-17) Assignment - Signed#page1.tif
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`RECEIPT INFORMATION
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`EPAS ID:
`Receipt Date:
`
`PAT4273615
`02/14/2017
`
`file:///C:/Users/kkenny/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Fil...
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`2/14/2017
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