Form Pto/aia/67 - Power To Inspect/copy- For Applications Filed On Or After September 16, 2012
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2PTO/AIA/67 (11-15)
Approved for use through 07/31/2016. OMB 0651-0031
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 unless it displays a valid OMB control number.
POWER TO INSPECT/COPY- FOR APPLICATIONS FILED ON OR AFTER SEPTEMBER 16, 2012
First Named
Docket
Inventor
Number
Application
Filed
Number
Title
Art Unit
Examiner
Commissioner for Patents
Paper No. _______________
P.O. Box 1450
Alexandria, VA 22313-1450
Please permit the following person(s) to inspect and make copies of the above-identified application:
Customer Name(s): ______________________________________________
Badge Number(s):
______________________________________________
Company Name (if any): __________________________________________
Telephone Number: ______________________________________________
Fax Number: ___________________________________________________
I am (pursuant to 37 CFR 1.14(c)):
the applicant.
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 ____________________
Frame____________________________, or for which a copy thereof is attached.
the inventor or a joint inventor.
a registered attorney 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._____________.
.
________________________________________________
____________________
Signature
Date
FOR USPTO USE ONLY
________________________________________________
If a CD is ordered:
Typed or Printed Name
Date CD ordered: ______________________
Date CD received: ______________________
Date CD given to customer:_______________
________________________________________________
Date CD returned by customer:____________
Title (Officer of company or corporate assignee)
CD purchased?
YES
NO
________________________________________________
Power to Inspect Approved by:
Name of Assignee, if any (e.g., company name)
_______________________________________
Unit:___________________________________
________________________________________________
Telephone Number
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
USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 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 FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
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