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`Application No.
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`Reissue Terminal Disclaimer
`Review Form
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`Original Patent Number of
`Patent to be Reissued is: {3861756
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`16/052,623
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`Examiner:
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`
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`The Maintenance fee status is:
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`te: up to date.
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`gx not up to date.
`*" (Consult with SPRS)
`
`(Examiner's note: Assign Doc Code "REIS.REVFORM'" to this form.) U.S. Patent and Trademark Office
`
`This reissue patent is subject to Terminal Disclaimer(s) that was/were:
`P|
`filed and accepted (DISQ or DISQ.E.FILE) during the prosecution of the current reissue application.
`(Enter terminal disclaimers)filing date(s) below).
`
`Is there a terminal disclaimer filed and accepted during the prosecution of(i) the current reissue application,(ii) the
`underlying patent, and/or (iii) reexamination proceeding(s) of the underlying patent?
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`%@: NO
`
`£™YES (Complete the rest of the form)
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`The underlying patent of the current reissue application is subject to Terminal Disclaimer(s) that was/were:
`
`accepted (DISQ or DISQ.E.FILE) and of record in the prosecution of the underlying patent and/or reexamination
`
`proceeding(s) of the underlying patent. (Enter application/control no(s) and terminal disclaimer(s)filing date(s) below).
`
`Last revised: 12/2016
`
`
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