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`89:29
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`DECLARATION _
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`poweaormonev “-
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`A: nlioatlon Number
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`[3 Declaration Submitted after
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`A5 a below named inventor, i homily declare that: I
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`i nelieve ! am the original. first and sole inventor (it only one name is listed below) or no original, first and joint inventor (if
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`entitled:
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` ~15onan SKIN nonunmcmo newer: AND METHOD Fonuse
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`litre of the invention)
` the specification of which
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`OR
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` [3 was filed on (MMiDDWY) [:l as United States Application Nomhor or PCT international Application Mi mber
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`i hereby state that i have reviewed and understand the contents or the above identified specification, including the claims. 38
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`' amended by any amendment specifically referred to shove.
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`87/22/2368
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`89:29
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`388-984w3832
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`JDHNSBN 3e JDHNSDN
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`PAGE
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`82384
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`Sit/$53,068
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`{17131f2607
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`Additional provisional applicaficn
`numbers are listed on &
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`provided bythe first paragraph ef This 35, United States Corie, §112. l acknowledge the duty is disclose material information as
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`EWEEI’EQBB
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`JDHNSQN 8: JEJHNSDN
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`PAGE
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`IBl’Brfi
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`l hereby declare that all statements made hereén of my own knewledge are true anal that all statements made on
`infal’mation and belief are believed to be true; and further that these statements were made with the tenovrledge
`that willful false statements and the like so made are punishable by fine or Imprisonment, or both. under 13
`U.$.C. 1001 and that Such willful false elatemente may jeopardlze the validity of the application a: any patent
`issued thereon.
`
`
`
`
`titlon has been filed for this unsi-ned lnvente’:
`
`
`Family Name
`
`
`or Surname
`Gubemlck
`
`
`
`
`
`
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`
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`I Residence; CttyCher Hill
`State Ni}
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`
`
`
`
`
`Mailin . Adm-555 Woodbu Drive
`
`i Couee’y USA
`2!? 08003
`Hill
`Che
`City
`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; ant} farther that these statements were made with the knowledge
`that wiitful false statements and the like so made are gunishabie by fine or Emprisanment. or both, under 13
`113.0. 1001 end that such willfill false statements may jeeeerclize the validity of the application or any patent
`issued thereon.
`.
`
`
`
`
`
`
`NAME OF SECOND INVENTOR:
`
`Given Name
`firstand middle Ilfan
`
`Re mend J.
`
`lnventer‘s
`Si-nature
`
`
` etitien has been filed for this unsi ned intranet
`
`Family Name
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`Hull] Jr,
`
`_
`
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`‘
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`: see NJ Count USAResnienca: c: Hamton citizenslllp USA
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`use?
`.
`Hampton
`all
`i hereby declare the! all statements made herein of my own knowledge are true and that all statements made on
`informative and belief are believed to be true; and further that these statemeem were made with the knowledge
`that wiilful false statements and the like so made are punishable by fine or imprisonment, or both. meter 18
`U.S.C. 1001 and that such wléffzzl false statements may jeopardize the validity of the eppiécatlon or any patent
`issued thereon,
`
`
`
`
`
`
`
`
`
`i Mailing Address 16 Tunlebeck Reed
`
`
`
`NAME OF THtRD lNVE-ZNTOR:
`
`g A titlcll has been filed for this attained Inventor
`
`Given Name
`firstand middle [Eran James
`
`‘
`
`Family Name
`or Surname Menke
`
`Inventer’s
`SE nattrre
`
`Date
`
`Residence: City Celifen
`
`Country USA
`
`CitizenshlpUSA
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`
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`Page 3 at £1
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`875220868 89:29
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`988w984-3892
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`JDHNSBN E; JDi-INEUN
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`PAGE Edffid
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`I hereby dectars that all statements made herein of my own knowledge are trust and that ail statements made on
`information and beiief are believed to be true; and Eurther that these statements were: made with the knowiedge
`that wiiiful false statements and the Bite so made are puntshable by fine or imprisonment, or both. under $3
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`
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`Family Name
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`at Surname
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`{fimt anti middte {if any}; John E
`
`
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`
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`Sihamre
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`Residence: CityEast Brunswick
`State NJ _—
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`: NAME 0? FOURW: ENVENTOR:
`
`
`
`Given Name
`
`{3 A u-tition has been fried for this unsLned inventor
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`Matting Aédress 8 Eiaine Road
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`Jul 22 08 86:4853
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`John 8: JoAnn Rylei
`
`(732) 254—5649
`
`pf:
`
`PTOISBNH [1008)
`W for use {from 1943112002. OMB 12351-0332
`8.3. Paul aniiTradema'k Office; its DEPfiRWENT 04" (29me
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`
`Docket Numbe:
`
`J&J530§USNP
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`A a
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`395,423,151? [F mow”
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`DECLARATiDN
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`POWER OF ATTORNEY
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`FOR UTithY OR {)ESIGN
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`PATENT APPLECAT'GN
`
`
`
`I E Declaration Submilicd with Ci Declaraiicn Submiriect after
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`_ As a bciow nameé inventor, I hereby declare that:
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`My residence, mailing address, and citizenship are as siaied pclow next to my name.
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`enfiiied:
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`
`
`
`
`
`
`
`MECHANICAL SKEN RESURFACEPfG DEVICE AND METHOD FOR USE
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`
` the specification of which
` _ Q is attached hereto
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`é hereby stoic that I have reviewed and understand the contacts of me above identified specification. including the ciaims! as
`amended by anyamendment specifically referred to above.
`f
`
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`l acknovdedge the duty £0 dimose informaiiori which is material to patentabifiiy as defined it: 3? CFR 1.56, including for
`
`; mnfinoafionmiopafl appiicationc, maierial Enformab'on Which b‘ccamc availabic batman the filing date of i339 prior application 2
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`3 and the national or PC? intomotionai filing date ofihe continuialion-in-pafl appiicalion.
`i hereby ciaim mtgn priority benefits under 35 U.S.C. 119(aHd) or 385(b) of any foreign applicafion(s) for patent or
`inventors coriificale, or 365(a} of any PCT intemaiioriai appligfion which designated a: ieast one country other ihasn the
`United Staies of America, lisied below and have also identifiep below, by checking 1113 box, any foreign application for patent
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`3
`Prior Foreign
`Foreign Filing Date
`Application
`(Midi!) DIWYY}
`Number 3
`
`'
`'
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`Country
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`W
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`Priority
`Hot Claimed
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`Certified Copy
`Attached?
`YES
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`N0
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`{Ii
`£3
`£3
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`: i Addifiooal iotein . - iicction numbers are listed on a sri - lamentai doc Mata sheet PTOISEMZE attached heroic:
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`3in 22 08 06:49p
`
`John & JoAnn Rytei
`
`{732) 2546649
`
`p._7
`
`EE i
`
`DECLARATloR - litility 0? Design Patent Apptication
`
`Additional pmvisional application
`numbers are listed on a
`supplemental priority cam sheet
`P“?OIS§31£28 attached hereto.
`
`Adoress eli telephone nails to Joe A. Rozhlus at tare-phone number (3’32) 524.322 Custaoer Number
`
`l hereby claim the benefit under Trio 35, United States Code, §i12f> of any United States appficationls} iisted below and, insofar
`as the cubical matter ofeaob oftbe claims of this application is not disclosm in the prior United States eppiicalion in the manner
`prmritieé byline first caragraph of‘i‘rtie 35, United Slates Corie, $12, l acknowledge the duty to disclose material information as
`defined in Trfie 37, Code of $ederal Regolafions, §t 56(3) which occurred between the filing date of the prior application and the
`
`national or PC? intemationel filing date of this agglioaflon;
`Application Serial Ho.
`
`9 Date
`
`_ Patented
`Patented
`Patented
`
`AUTHORIZATiOM TO PERMIT ACCESS TO APPLICATION BY PARTECIPAYiNG OFFICES
`
`{:i it checked, the Wagner! hereby grants the USPTO authority to provide the European Patent Office (EPO), the Japan
`Patent Office {JPOL and any other intellectual property otfices in with a foreign appfication claiming priority to the above
`identified aeniicafion is filed access to the aboveirtenlified patent application. See 3? CFR1.14(C) and (it). This box should nol
`be checked if the apolicant does not wish the EPO, JPO, or other intellectual property ofiioe in which a foreign applirztion claiming
`priority to the aboveidentified application is filed to have amass lo the appliwtion.
`
`;
`
`In accordm with 37 CFR ammo). access wit be pmvicied to a copy of the applicafion—as—filed with respect to: 1) the aboven
`identified appfirxafion, 2) any toreigm application to which the drove—identified acclimation claims priority under 35 USC itBtaHd) if
`a copy of the foreign appiication that satisfies the certified copy requirement of 3? CFR 1455 has been filed in the above-identified
`US application, and 3} any US. application form which benefit is soughtin the some—identified appficafion.
`
`in accordance W 37 CFR more), access may be provioed to iniorrnaéion concerning the rials stilling the Authorization to
`PermitAocess lo ‘ g: icafion b Partial atin- orifices.
`i hereby appoint:
`
`Place Customer
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`E PractitionersatCustomerNumber
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`0003:”??? I;
`
`NumberBarCorie‘
`Labet Here
`
`AND
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`_ Ci
`
`Practitionems) named beiow:
`Name
`
`Registration Number
`
`as my/oor ottomeyls) or agenfls) to prosecute the application identified above, and to transact all business in the United
`States Patent and Trademark Office connected therewith.
`
`l
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`x il r l
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`05552777?”
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`j Direct all correspondence to:
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`& nr Bar Code Label
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`_
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`

`

`lul 22 08 0514953
`
`John Ex JoAnn Rytel
`
`{732) 2546649
`
`p.8
`
`i hereby deciere that all statements made herein at my own knewlecége are true and ihal aii statements maria on
`information and beiief are beiieved to be true; and further that these statements were made with the knowledge
`that witlful talse statements aed the iike so matte are punishable by tine or imprisonment or both under 18
`U.SC 1091 and that such w]Eiful feise statements mayjeoperdize the veliriity of the eppiécetinn or any patent
`issue-cf thereen-
`
`.
`
`5 Given Name
`
`(firstand middie [if any1) David
`
`
`E or Surname
`Guns-mick
`
`lnventnr‘s
`5i 5 nature
`
`Residence: CityCher
`
`I
`
`char Ha
`
`.
`
`;
`
`Date
`
`i Country USA
`
`CflizenehipUSfi-‘I
`
`
`
`t hereby ties:are that alt statements made herein of my own knowiedge are true and that aif statements made an
`information and belief are believed to be true and further that these statements were made with the knowledge
`that wiilful false statements and the like so made are punishable by fine or imprisunment, or both under ‘IB
`U.S.C. 1001 and that such wiiltul false statements may jeopardize the valieity of the apglicaiion a: any patent
`
`issued thereon.
`
`NAME OF SECOND ENVENTOR:
`
`Given Name
`{first anti middie {if any!) Ra mend J
`
`inventors
`S -- mm
`
`_ Residence: CityHampiDn
`
`aiiing Address 03 Rick Rwd
`
`
`I A I titior: has been tiled ier this unsigned inventor
`
`Family Name
`or Surname
`
`RUE, Jr,
`
`Date
`
`CitizenshigUSA
`
`
`Country USA
`
`1 hereby deciate that all statements made herein of my own knowledge are true and that all statements made an
`information and belief are believed to be true; and further that these statements were made with the knowiedge
`that willfui raise statements and the like so made are punishabie by fine or imprisonment or both under 18
`U 8.8.100“! and that such wiilfu! raise statements may jeopardize the validity of the application or any patent
`issued thereon.
`
`: NAME OFTHIRD INVENTOR:
`
`CI A etitien has been filed for this unsi-ned inventer
`
`Given Name
`(instant! middle {ifanyn James
`
`tmranto r's
`
`Signature
`
`Family Name
`orSumame
`
`_ Mantra
`
`-
`
`Date
`
`Residence: Ci Caliion
`
`Country USA
`
`CitizenshipUSA
`
`Maiting Address 1 C: Tunieback Road
`
`ZIP __ 07830
`
`Country USA
`
`___
`
`

`

`ul 22 08 06:50p
`
`John & JoAnn Rytei
`
`(732} 254-5649
`
`p9
`
`
`
`l hereby decime that all statements made herein of my 6er knowledge are true and iha‘é all staiemenls made on
`informafion and belief are believed To be true and further that {base statements were made with me knowledge
`that willful false séatements and she like so made are punishable byIfine or impnsanment, or both under 16
`
`U SC ‘l 001 and that such willfui false statements may Ieopaléize the validity of the application or any palent
`
`_ issued thereon
`E3
`
`
` ‘lion has been filed bribis ansjgggd invenim
`[S‘A'
`
`Givea Name
`EEFamily Name
`
`
`
`
`(first and miédie {If anyl)
`or Surname
`
`
`\_
`' Sinai-are
`I.“ M Date
`
`-
`I
`' Emaator’s \
`
`
`“‘
`W-Slate NJ
`Country USA
`
`Mailing Address 8 Eiaine Road
`
`
`
`'
`
`
`
`
`
`Ci‘cy
`
`EasiBrunswick
`
`
`
`_
`
`32 2063
`CitizenshipUSA
`
`ZIP {38315
`
`Gauntry USA .,
`
`
`
`
`
`