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[M}LARGE C)SMALL CJ MICRO APPLICATION ASFILED - PART I
`
`Toracappiree|
`TotemCot2)(Cota3)
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`AFTER
`PREVIOUSLY
`AMENDMENT
`PAID FOR
`Total
`.
`renirsmesO-
`Ind
`dent
`.
`independentfetwistsO-
`L_} Application Size Fee (37 CFR 1.16(s))
`aeee
`CATON OF MULTIPLEDEPENDENT CAM G7 CFR ee
`Toracappiree|
`LIE
`/JASON B EADDY/
`
`PTO/SB/06 (09-11)
`Approved for use through 1/31/2014. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unlessit displays a valid OMB control number.
`Application or Docket Number
`Filing Date
`
`ENTITY:
`
`Column) (Column2)
`NUMBER FILED
`NUMBER EXTRA
`||
`RATE (8)
`FEE ($)
`N/A
`
`L_] BASIC FEE
`37 CFR 1.16(a),
`
`(b), or (c
`
`(i), or
`37 CFR 1.16(k),
`L EXAMINATION FEE
`37 CFR 1.16(0),
`(p), or
`TOTAL CLAIMS
`
`(m
`
`(q
`
`N/A
`
`.
`
`INDEPENDENT CLAIMS
`(37 GFR 1.16(h))
`
`(JAPPLICATION SIZE FEE (37
`CFR 1.16(s))
`
`.
`minus 3 =
`If the specification and drawings exceed 100 sheets
`of paper, the application size fee due is $310 ($155
`for small entity) for each additional 50 sheets or
`fraction thereof. See 35 U.S.C. 41(a)(1)(G) and 37
`CFR 1.16(s).
`([] MULTIPLE DEPENDENTCLAIM PRESENT(37 CFR1.16(j)}
`* If the difference in column 1
`is less than zero, enter "0" in column 2.
`
`N/A
`
`<>
`
`x $100 =
`
`x $460 =
`
`APPLICATION AS AMENDED - PARTIl
`
`
`
`
`
`
`
`ZW
`
`i=< A
`
`Cott) Column2)(Column3)
`CLAIMS
`HIGHEST
`REMAINING
`NUMBER
`
`04/06/2021|arren PREVIOUSLY PRESENT EXTRA RATE($) ADDITIONALFEE ($}
`AMENDMENT
`PAID FOR
`*
`Total
`:
`resi9 [mirJ200-0Te s00-fl
`ingependent’[4 [mimsf3=OTe480-fl
`(_} Application Size Fee (37 CFR 1.16(s))
`aeee
`(_] FIRST PRESENTATION OF MULTIPLE DEPENDENTCLAIM (37 CFR
`1.16(j))
`
`i=az
`
`=w
`
`MENDMENT
`
`PRESENT EXTRA
`
`RATE($)
`
`ADDITIONALFEE ($)
`
`1.16(j
`
`in column 2, write "0" in column 3.
`in column_1 is less than the entry
`* If the entry
`iously
`Paid For" IN THIS SPACEisless than 20,enter "20".
`“Ifthe "Hi
`*“* If the "Highest Number Previously Paid For" IN THIS SPACE is less than 3, enter "3".
`The "Highest Number Previously Paid For" (Total or Independent) is the highest number found in the appropriate box in column 1.
`This collection of information is required by 37 CFR 1.16. The information is required to obtain or retain a benefit by the public whichis to file (and by the USPTO to
`process} an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 12 minutes to complete, including gathering,
`preparing, and submitting the completed application form to the USPTO. Time will vary 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, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMSTOTHIS
`ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`/fyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
`
`

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