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PTO/SB/104 (8-96) Approved for use through 9/30/98. OMB 0651-0032 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. [Page 1 of 3] Burden Hour Statement: This form is estimated to take 0.4 hours to complete. Time will vary depending upon the needs of the individual case. Any comments on the amount of time you are required to complete this form should be sent to the Chief Information Officer, Patent and TrademarkOffice, Washington, DC 20231. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner of Patents andTrademarks, Washington, DC 20231. Declaration and Power of Attorney for Patent Application Dichiarazione e procura ai fini della domanda di brevetto Italian Language Declaration Il sottoscritto inventore dichiara che: As a below named inventor, I hereby declare that: La propria residenza, recapito postale e cittadinanza My residence, post office address and citizenship are as stated corrispondono a quanto indicato in calce, sotto la propria firma. next to my name. Ritiene di essere il primo ed unico inventore originale (se viene I believe I am the original, first and sole inventor (if only one elencato in calce un solo nominativo) o il coinventore primo ed name is listed below) or an original, first and joint inventor (if originale (se è elencato più di un nominativo) del oggetto plural names are listed below) of the subject matter which is rivendicato e per il quale il sottoscritto presenta domanda di claimed and for which a patent is sought on the invention entitled brevetto. La invenzione in questione è chiamata e la sua descrizione è allegata alla presente Dichiarazione a meno che non sia spuntata la seguente casella: ~ Il è stata depositata una domanda di brevetto statunitense numero o una domanda di brevettointernazionale PCT numero che è stata modificata il (se applicabile). Il sottoscritto dichiara in oltre di aver letto e compreso il contenuto della descrizione identificata in precedenza, rivendicazioni comprese, come modificati dall'eventuale modifica summenzionata. Il sottoscritto riconosce l'obbligo di rivelare informazioni essenziali ai fini della determinazione della brevettabilità ai sensidel Titolo 37, Codice dei Regolamenti Federali, § 1.56. the specification of which is attached hereto unless the following box is checked: ~ was filed on as United States Application Number or PCT International Application Number and was amended on (if applicable). I hereby state that I have reviewed and understand the contents of the above identified specification, including the claims, asamended by any amendment referred to above. I acknowledge the d uty to disclose information which is material to patentability as defined in Title 37, Code of Federal Regulations, § 1.56. PTO/SB/104 (8-96) Approved for use through 9/30/98. OMB 0651-0032 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. [Page 2 of 3] Italian Language Declaration Il sottoscritto rivendica con la presente la priorità prevista dal I hereby claim foreign priority under Title 35, United States Titolo 35, Codice degli Stati Uniti, § 119(e)-(d) o § 365(b) in Code, § 119(a)-(d) or § 365(b) of any foreign application(s) for relazione a qualsiasi domanda o domande estere di brevetto o patent or inventor's certificate, or § 365(a) of any PCT certificato di inventore, o dal Titolo 35, § 365(a) degli stessi International application which designated at least one country Codice in relazione a qualsiasi domanda internazionale PCT other than the United States, listed below and have also identified nella quale è designato almeno un paese diverso dagli Stati Uniti, below, by checking the box, any foreign application for patent or i suddetti domande e certifcati essendo elencati sotto, e, inventor's certificate or PCT International application having a spuntando les seguenti caselle, ha anche identificato sotto f iling date before that of the application on which priority is qualsiasi domanda estera di brevetto o certificato di inventore, o claimed. domanda internazionale PCT, la cui data di deposito preceda quella della domanda per la quale è rivendicata la priorità. Prior Foreign Aplication(s) Diritto di priorità non rivendicato Domande Estere Anteriori ~ (Number) (Country) (Day/Month/Year Filed) (Numero) (Nazione) (Giorno/Mese/Anno di deposito) ~ (Number) (Country) (Day/Month/Year Filed) (Numero) (Nazione) (Giorno/Mese/Anno di deposito) Il sottoscritto rivendica con la presente i benefici previsti dal I hereby claim the benefit under Title 35, United States Code, § Titolo 35, Codici degli Stati Uniti, § 119(e), in relazione a 119(e) of any United States provisional application(s) listed qualsiasi domanda o domande provvisorie degli Stati Uniti below.elencate sotto. (Application No.) (Filing Date) (N della domanda) (Data di deposito) 0 (Application No.) (Filing Date) (N della domanda) (Data di deposito) 0 Il sottoscritto rivendica con la presente i benefici previsti dal I hereby claim the benefit under Title 35, United States Code, § Titolo 35, Codice degli Stati Uniti, § 120, in relazione a qualsiasi 120 of any United States application(s), or § 365(c) of any PCT domanda o domande statunitensi, o dal Titolo 35, § 365(c) degli International application designating the United States, listed stessi Codice in relazione a qualsiasi domanda internazionale below and, insofar as the subject matter of each of the claims of PCT nella quale sono designati gli Stati Uniti, i suddette this application is not disclosed in the prior United States or PCT domande essendo elencate sotto e, nella misura in cui l'oggetto di International application in the manner provided by the first ciascuna rivendicazione di questa domanda non sia stato esposto paragraph of T itle 35, United States Code, § 112, I acknowledge nella domanda statunitense o internazionale PCT anteriore nel the duty to disclose information which is material to patentability modo previsto dal primo paragrafo del Titolo 35, Codice degli as defined in T itle 37, Code of Federal Regulations, § 1.56 which Stati Uniti, § 112, riconosce l'obbligo di rivelare informazioni b ecame available between the filing date of the prior application essenziali ai fini della determinazione della brevettabilità ai sensi and the national or PCT International filing date of this del Titolo 37, Codici dei Regolamenti Federali, § 1.56, le quali application. diventino disponibili durante il periodo compreso tra la data di deposito della domanda anteriore e la data di deposito nazionale o internazionale PCT della presente domanda. (Application No.) (Filing Date) (N della domanda) (Data di deposito) (Status) (patented, pending, abandoned) 0 (Stato) (concessione di brevetto, in corso di esame, abbandono) (Application No.) (Filing Date) (N della domanda) (Data di deposito) (Status) (patented, pending, abandoned) 0 Con la presente, il sottoscritto dichiara veritiere tutte le affermazioni contenute in questa domanda in relazione alle I hereby declare that all statements made herein of my own proprie conoscenze e di ritenere vere tutte le affermazioni o knowledge are true and that all statements made on information informazioni presentate. Dichiara inoltre che tali asserzioni sono and belief are believed to be true; and further that these state espresse nella piena consapevolezza che le dichiarazioni statements were made with the knowledge that willful false intenzionalmente false sono punibili con una multa, statements and the like so made are punishable by fine or l'incarcerazione o entrambe, ai sensi della Sezione 1001 del imprisonment, or both, under Section 1001 of Title 18 of the Titolo 18 del Codice degli Stati Uniti e che tali dichiarazioni United States Code and that such willful false statements may intenzionalmente false possono mettere a repentaglio la validità jeopardize the validity of the application or any patent issued della domanda o di qualsiasi brevetto rilasciato in merito. thereon. Priority Not Claimed (Stato) (concessione di brevetto, in corso di esame, abbandono) PTO/SB/104 (8-96) Approved for use through 9/30/98. OMB 0651-0032 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. [Page 3 of 3] Italian Language Declaration PROCURA: Il sottoscritto inventore nomina con la presente il POWER OF ATTORNEY: As a named inventor, I hereby seguente avvocato o avvocati e/o agente o agenti al fine di appoint the following attorney(s) and/or agent(s) to prosecute this istruire questa pratica e di condurre tutte le operazione ad essa application and transact all business in the Patent and Trademark pertinenti presso l'Ufficio dei Brevetti e Marchi di Fabbrica: Office connected therewith: (list name and registration (Elencare il nome ed il numero di matricola). number). Inviare le corrispondenza a: Send Correspondence to: Telefonare a: (nome e numero telefonico) Direct Telephone Calls to: (name and telephone number) Nome e cognome dell'unico o del primo inventore Full name of sole or first inventor Firma dell'inventore Data Inventor's signature DateResidenza Residence Cittadinanza Citizenship Recapito postale Post Office Address Nome e cognome dell'eventuale secondo coinventore Full name of second joint inventor, if any Firma del secondo coinventore Data Second Inventor's signature Date Residenza Residence Cittadinanza Citizenship Recapito postale Post Office Address (Fornire le stesse informazioni e le firme del terzo e degli (Supply similar information and signature for third and ulteriori coinventori.) subsequent joint inventors.)

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