How to write the template that patent officer fees are not reimbursed?

1. First, indicate at the top of the certificate that the patent official fee has not been reimbursed in the center, and indicate at the beginning the name of the unit or individual that issued the certificate.

2. Secondly, explain in detail the reasons for not being reimbursed, including but not limited to the amount of patent fees, payment time, payment methods and other information, and provide copies or scanned copies of relevant payment vouchers or other supporting materials as attachments.

3. Finally, write this certificate at the end, and sign the name and date of the witness or certification unit.