Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 1 of 3
`Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 1of3
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`EXHIBIT 3
`EXHIBIT 3
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`Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 2 of 3
`Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 2 of 3
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`Doc Code: STAT.DISCLMR
`DocumentDescription: Statutory Disclaimers per Manual of Patent Examining Procedure(MPEP) 1490
`
`PTO/SB/43 (11-23)
`Approved for use through 05/31/2024. OMB 0651-0031
`U.S. Patent and TrademarkOffice; U.S. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respondto a collection of information unlessit displays a valid OMB control number.
`
`DISCLAIMER IN A PATENT UNDER 37 CFR 1.321(a)
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`Name of Patentee
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`104402-5065-US
`PayRange Inc.
`sem™"4 1,481,772 B2 "October 25, 2022
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`Docket Number (optional)
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`Title of Invention
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`METHOD AND SYSTEM FOR PRESENTING REPRESENTATIONS OF PAYMENT ACCEPTING UNIT EVENTS
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`Patentee hereby disclaims:
`
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`the following complete claim(s) in the above-identified patent: 1-6, 8-10 and 12-20
`the terminal part of the term of the above-identified patent beginning on the date:
`[|
`the entire term of the above-identified patent.
`[|
`The disclaimer is binding on the patentee and its successorsor assigns.
`
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`The extent of patentee’s ownership interest in the above-identified patent is; 100%
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`The fee for this disclaimer is set forth in 37 CFR 1.20(d) and is being paid in the following manner:
`[|
`payment by the USPTO patentelectronicfiling system.
`the Director is hereby authorized to charge any fees which may be required, or credit any
`overpayment, to Deposit Account No. 95-0310
`paymentby credit card. Form PTO-2038is attached.
`[|
`a check in the amountofthe fee is enclosed.
`[|
`WARNING: Information on this form may become public. Credit card information should not be included on this
`form. Provide credit card information and authorization on form PTO-2038.
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`The undersigned is:
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`patentee. If patentee is a juristic entity, the undersigned is authorized to act on behalf of the juristic
`entity.
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`attorney or agentof record.
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`“ee"(Douglas J. Crisman/
`.
`Douglas J. Crisman
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`Name (printed/typed)
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`|°’ November 22, 2023
`39,951
`
`Practitioner registration number
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`Note: See 37 CFR 1.4(d) for signature requirements and certifications.
`
`
`
`A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to
`comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information collection has
`a currently valid OMB Control Number. The OMB Control Number for this information collection is 0651-0031. Public burden for this form is
`estimated to average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
`maintaining the data needed, and completing and reviewing the information collection. Send comments regarding this burden estimate or any
`other aspectofthis information collection, including suggestions for reducing this burden to the Chief Administrative Officer, United States Patent
`and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email InformationCollection@uspto.gov. DO NOT SEND FEES OR COMPLETED
`FORMS TO THIS ADDRESS.Iffiling the completed form by mail, send to: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
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`

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`Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 3 of 3
`Case 6:24-cv-00340-AM-DTG Document 1-3 Filed 06/24/24 Page 3 of 3
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`Privacy Act Statement
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`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with
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`USPTO’s system of records is used to manageall applicant and owner information including name,
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`the information collected in this form is COMMERCE/PAT-TM-7 Patent Application Files, available in the
`Federal Register at 78 FR 19243 (March 29, 2013). httes://www.govinfogov/content/pke/FR-2013-03-
`29/pdt/2013-07344pal
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`Routine uses of the information in this record mayinclude disclosure to:
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