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Patent It Yourself - PDF Archive

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280 | PATENT IT YOURSELF<br />

✓<br />

2175-3210-1497-3218<br />

05/2011<br />

Mildred Goldberger<br />

545 (The PTO may change this amount if incorrect)<br />

Mildred Goldberger 11/11/2011<br />

1901 Kennedy Blvd.<br />

Philadelphia<br />

PA 19103<br />

US<br />

215-555-0362<br />

✓<br />

<strong>Patent</strong> Application Filing Fee<br />

Goldberger-Briskin<br />

Fig. 10L—PTO’s Credit Card Payment Form (Form 10-4 in Appendix 7)

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