I
PTO/AIA/67 (11-15)
Approved for use through 12/31/2020. OMB 0651-0031
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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POWER TO INSPECT/COPY
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FOR APPLICATIONS FILED
ON OR AFTER
SEPTEMBER 16, 2012
First Named
Inventor
Application
Number
Title
Art Unit
Examiner
Docket
Number
Filed
Commissioner for Patents
P.O. Box 1450
Paper No.
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Alexandria, VA 22313
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1450
Please permit the following person(s) to inspect and make copies of the above-identified application:
Customer Name(s):
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Company Name (if any):
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Telephone Number:
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Fax Number:
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I am
(pursuant to 37 CFR 1.14(c))
:
t
he
a
pplicant.
a
patent practitioner of
record. Registration No.
_________________________.
.
an authorized official of the assignee or an assignee of an undivided part interest. The assignment was made of
record pursuant to 37 CFR 3.71 in the United States Patent and Trademark Office at Reel
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, or for which a copy thereof is attached.
t
he inventor or a joint inventor.
a
registered
a
ttorney or agent named in the
papers accompanying the
application papers filed under
37 CFR 1.53 or
the
national stage documents filed under 37 CFR
1.495
. A
power of attorney has not been appointed under 37 CFR 1.32
.
Registration No.
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Signature
Date
Typed or Printed Name
Title (Officer of company or corporate assignee)
Name of Assignee, if any (e.g., company name)
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Number
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This collection of information is required by 37 CFR 1.14. The information is required to obtain or retain a benefit by the public which is to file (and by the
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SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
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Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with
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the requirements of the Act, please be advised that: (1) the general authority for the collection of this
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The information provided by you in this form will be subject to the following routine uses:
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