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Power Of Attorney Designation--If Not Accompanying Application



POWER OF ATTORNEY DESIGNATION--IF NOT ACCOMPANYING APPLICATION

IN THE UNITED STATES PATENT AND TRADEMARK OFFICE

In re patent of: [Name of applicant]
Patent No.[patent number]
Issued on: [Date Issued]
For: [Item]

To the Honorable Commissioner of Patents and Trademarks:

I, [Name of applicant], applied for letters patent for an improvement in
[Subject of Invention] on [Date Applied].

I hereby appoint [Name, Full Address, and Phone Number of attorney] as my attorney and/or agent with full power of substitution, association, and revocation for the purpose of prosecuting this application and for conducting all business in the Patent and Trademark Office in connection therewith.

All telephone calls and all correspondence should be addressed to the above named attorney and/or agent as follows:
[Name of attorney]
[Telephone Number of attorney]
[Complete Address of attorney]





Signature Date