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E required to a collection of information unless it displays a valid OMB control number. TERMINAL DISCLAIMER TO ACCOMPANY PETITION Docket Number (Optional) In re Application of: Name: Application Number: Filed: For: The owner*, of percent interest in the above-identified application hereby disclaims a terminal part of the term of any patent granted the above-identified application equivalent to: (1) if the above-identified application is a design application,.

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