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Street Address 1 123 SOME STREET
Street Address 2  
Zip Code 12345
Bank Account Number ***9999
Bank Account Type C
Contact Phone Number 123-456-7890
Contact E-mail Address JDOE@EMAIL.COM


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This is the application for which you are paying fees:
EFS ID 1007694
Application Number 11702080
Confirmation Number 8788
Title of Invention John Doe Machine
First Named Inventor John Michael Doe
Customer Number or Correspondence Address 12345
John M. Doe
Jane Doe
123 Some Street
AL 12345 US
Filed By John Doe
Attorney Docket Number ABCDEF123456
Application Type ex parte reexam
 The following fees will be collected for this application:
Fee Description Fee Code Amount    
Fee Description based on fees chosen Fee Code based on fees chosen 1    
Fee Description based on fees chosen Fee Code based on fees chosen 1    
Fee Description based on fees chosen Fee Code based on fees chosen 1 Total Payment:
$ 900
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