`Document Description: Provisional Cover Sheet (SB16)
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`PTO/SB/16 (11-08)
`Approvedfor use through 01/31/2014 OMB 0651-0032
`U.S. Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE
`Underthe Paperwork Reduction Act of 1995, no persons are required to respondto a collection of information unless it displays a valid OMB contro! number
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`Provisional Application for Patent Cover Sheet
`This is a requestforfiling a PROVISIONAL APPLICATION FOR PATENTunder 37 CFR 1.53(c)
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`Inventor(s)
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`Inventor 1
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`Inventor 2
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`GAINESVILLE
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`[FL
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`US
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`TAYLOR Ww. |Gaines
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`ARMY RESEARCH OFFICE, W911NF-09-1-0290
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`© No.
`@ Yes, the name of the U.S. Government agency and the Government contract numberare:
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`BS
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`All Inventors Must Be Listed — Additional Inventor Information blocks may be
`generated within this form by selecting the Add button.
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`Title of Invention
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`SULFONATED POLYETHYLENE
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`Attorney Docket Number (if applicable)
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`UF.1133P
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`Correspondence Address
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`Direct all correspondenceto (select one):
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`@) The address corresponding to Customer Number © Firm orIndividual Name
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`Customer Number
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`23557
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`The invention was made by an agency of the United States Governmentor under a contract with an agency of the United
`States Government.
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`EFS - Web 1.0.1
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