Power To Inspect Copy

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PTO/SB/67 (08-03)
Approved for use through 07/31/2006. 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.
Docket Number (Optional)
POWER TO INSPEC T/COPY
In re Application of
Application Number
Filed
Art Unit
Examiner
Paper No. _____________________
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313-1450
Please permit the following person(s) to inspect and make copies of the above identified application:
____________
Barbara J. Hendley, Forest Hendley, Deborah Beavers or Darlene Beavers
_______________________________________________________________________________
I am an:
Applicant.
Authorized official of the assignee of record. The assignment was recorded in the United
States Patent and Trademark office at Reel ___________________________ Frame _________________,
or for which a copy thereof is attached.
Attorney or agent of record. Registration No. ___________________________________.
Attorney or agent named in the application papers filed under 37 CFR 1.53, 1.494, or 1.495 (37 CFR 1.63 or
1.497 oath or declaration not filed). Registration No. ____________________________________________
______________________________________
______________________________________
Signature
Date
______________________________________
Typed or printed name
______________________________________
Title (Officer of company or corporate assignee)
______________________________________
Name of Assignee, if any (e.g., company name)
FOR PTO USE ONLY
_______________________________________
Approved by: _____________________
Telephone Number
(initials)
Unit : ___________________________
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 1.14. 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
Com miss ioner for P atents, P .O. Box 1450, A lexandri a, V A 22313 -1450
ADDRESS. SEND T O:
.
If you need ass is tance in c ompleting the form, c all 1-800-P T O-9199 and s elect option 2.

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