(a) 

(b) 

(c) 

REF ID :A67719 . 

RECORD OF MIL:TARY INV.~ 

WER DEPARTA1ENT. 

Office of the Chief of Air Service 

Patents Sect ion 

Munitions Building,. Washington, ·n. C. 

(Use separate sheet for each invention) 

FOLLOW INSTRUCTIONS ON BACK 

·rnv~ntor: 

( l 'J Name: . . : . fi.1.ItriedmaD.t J • .B.Rottlett, . ( 2) Rank, position or emp.Loyment :Ci7PtsrmlJ"st. 3r"-. Or11ttinal.rst · (3) Permanent address: ~ktitl.n~.rtml., !.l.C, E. f$Ue .Chwch, Va Title of Invention: 

D. lllretea ter ra.ndtais~ th.~1 reltttion$ o!: el:;otttcs.1 circt.dt& escfl'ipc1on or Inverrtion. 

(d) Date.s and places of Inventi.on: 

( l} _Con~eption by invent 0·5: Jee ::!:;., i-;:;-5 

(2) 

(3) 

(4) 

(5) 

-

at Disclosure to others: lo; ------- ------

First sketch or dra~ing:1ee ;:41 1935 at _,. .... :~-.. J~~~i""'i.°'r;'PJoob..,Mft~,~-oni) • c •. \ 

F;i.rst written description:_~""=e!M!f~~ ... ~· ~;~.,~:!.i'.'"fjr?'!""!,5r----at ;: 1.;1n1;

0

;tuzi:; fl;C •. 

Completion of model 

or full sized device =-... ~"?-~l:lMe!oo;..---------at _____ _ 

( 6) First ta st or opera- tion of invent ion =--..:i""""_.,, ________ at. _____ _ i""'!~,, .. 

(e)" Results .of tests, and 

exterrt of use of inventi"on: 

(f) Names ~f persons having knowledge 

of facts stated· under ( d) ·.and ( e): 

Prior Reports: ~ .nol\8. 

Rane. 

(g) 

(h) 

(i) 

(j) 

P~tents and Pat!3nt applications:~onlh othe::- than pl"11;1$0llt S)plicatiol). 

Rights of U .S.Government :_· u~l lic~a.::i 

Licenses or Assignment: H~ne. 

(k) Corrtracts involved: 

(1) 

Contract ors'· 

Contract No· •. and date 

Sub"ject matter 

Locatio~_of Plant 

Official title or 

statas of employment 

of inventor: 

Signature of witness and ·date: 

·Address 

Type· of Contract 

~~'2~ 

Sia-::•lll;o., rutj date.: 

(m) Remarks of Forwarding Officer: Signature of 

and date: 

lA\pproved for Release by NSA on 09-06-2013 pursuant to E. 0. 13.52§ 

Forwarding Officer 

{Over) W-892,A.s. Rev.6/2/24 
The f e>llowing 

REF ID:A67719 (D ~N~·~P.ucnu~::~: · cj) inforina~ion will be given .under th9 headings indicated: 

(a) The inventor should give his permanent address. Fe shouJd also give 

bis rank, corps, position or st·atus of employment at the time invert".. 

tion was made. · 

(b) The ~it le of the invention· should start with wo.rds ii1dicc-.tirig the 

class to v.rhich the invention b.elo:').gs, · such as. "Method of 11 or 

"Pro~ess of 11 in ca~e the invent:Lon reiates t.o a method or process; 

or the name of the article, ·devic.~ ·ol' ,;·type of machine in case .the 

invention rele..tes to an article 1 device er machine, or the nar.1a 

of the material or composi ti ch in case the invention is an improvement in material or composition. 

(c) The ~ascription of the inve11tion may be brief, provided reference 

·is made to detailed specifications and drawings, which should be 

identified by date and f il.e number· if official,· or shou) d be 

. attache·d to tha report if not part of the official records of the 

War Department. In eitller ·case, all drawings and descriP,tive. 

pamphlet.s rela~ing to the invention should be listed •. 

(d) Care should be taken to give the earliest date on which the invention suggested ·it·self' ·to you, ·even though it· .was not cor.:pletely in 

mind. If the invent~on co:1prises· differe:1t inventive iC:.ear,, give 

the dates with r~ierenca .. :to each part. o! the invention ae9arately, 

taking care to identify each .part 'cl~arly in the description of. 

the invention.· 

(ej State whether or not the invention was found to ue operative, and 

the degree of success attained at each test of the model or full 

sized device. In stating the extent of use of the inventio~, · 

·Beparat~."Uf?.e by the'Governraent 11 from 11 commercial use". 

(r) State the names of persons who had knowledge ~f the invention 

and facts concerning it on 'or about th·e ·date:J mentioned. 

(g,) Has description of invention or report of test, if any, be:en submitted to officers of the War ·Department? If so, when and to whom? 

Give references to all prio:r reports, inc.luding ?.o.11 information .. 

needed to locate same in files·. 

(h). List all applications for patents by filing dates, s-erial number · 

and title. ·List all patents by patent number, date of e;rant 1 an~ title ... . . 

(i) Has·tender to the United States been raade? If so, when and to whom? 

(k) 

(l) 

If not, tender the use of the invention to the United States or · 

explain.why not. 

State what, if any, rights in the irivention~:have been granted to 

oth~rs; incJuding extent of i•1teres:t granted and date of recording 

assignment or lic.en$e in·Patent Office •. 

Ir contracts have been plac~d for the iiwention, or if the invention was made in connection with the performance of a contract in 

whi'.ch the United States 'is interested, the ·fa.C"ts .should be given 

briefly, including contractor's name and address; Contract.No. and 

Date· of Contract; Su~ject Matter; Location of Contractor's Plant 

wt1ere· work was done; and Official Title or St~tus or Employment of 

Inventor, 

It ·is desirable. that the witness be familiar v1iti:l. the· facts $tated 

concerning the invention and have a sufficient unders~anding of the 

invention to describe its const~uction and operation • ., 

(m-) T'ne forwarding officer should give his 9pinion. ·of the value of the 

invention to the u.s. and whether. or not t:1e prospective development or the art to which the invention relates would make it advisable 

to protect the invention and the Gover~'Ui'lent' s right to use the same 

by an application for· pate~t. 

NS~3680/Ml3 -2- W-892, A.~ • 

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