PATENT APPLICATION FEE DETERMINATION RECORD Effective October 1, 2001 CLAIMS AS FILED - PART! SMALL ENTITY OTHER THAN TyPE C1 __on_SMALLENTITY TOTALGLAMS _>D FOR NUMBER FILED TOTAL CHARGEABLE CLAIMS [20 minus 20: INOEPENDENT CLAIMS 3 minus 3 = MULTIPLE DEPENDENT CLAIM PRESENT * If the difference in column 1 is less than zero, enter “0” in column 2 CLAIMS AS AMENDED - PART II OTHER THAN SMALL ENTITY REMAINING. ‘AFTER, PREVIOUSLY AMENDMENT. PAIO FOR Total * - independent [+ Minus ~ FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM REMAINING NUMBER | PRESENT ‘AFTER PREVIOUSLY | EXTRA AMENDMENT. PAID FOR Total A Minus | ow Independent | winus | ae FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM "AMENDMENT B (Column 4 (Column 2) _ (Column 3) CLAM HIGHEST REMAINING NUMBER | PRESENT ‘AFTER previousty | "Extra AMENDMENT PAID FOR Total A Minus | ww Independent | Iwinus | ae FIRST PRESENTATION OF MULTIPLE DEPENDENT CLAIM "AMENDMENT C * ite entry in column 1 i ess than the entry in column 2, write 0" in column 3, OTL ighest Number Previously Paid For IN THIS SPACE is ess than 20, enlet“20." qporT FEE! ‘nf the Highest Number Previously Pald For IN THIS SPACE is less than 3, enter “2.” “The Highest Number Previously Pad For” (Total or Independent) i the highest number found in the appropriate box in column 1 ForuPTOsTs ev BOT) TU Govern Pang Of Rh 4OeaON DEE aan and Vaden Oi US, OEPARTNENT OF COWNERGE