FRN Fee receipt

0287-EX-CN-2019 Applicant Eligibility

Robert Bosch LLC

2019-04-08ELS_227070

Agency Tracking ID:PGC2962280 Authorization Number:041992 Successful Authorization -- Date Paid: 6/16/17 FILE COPY ONLY!! READ INSTRUCTIONS FEDERAL COMMUNICATIONS COMMISSION APPROVED BY OMB CAREFULLY BEFORE 3060-059 PROCEEDING REMITTANCE ADVICE SPECIAL USE FORM 159 PAGE NO 1 OF 1 FCC USE ONLY (1) LOCKBOX #979095 SECTION A - Payer Information (2) PAYER NAME (if paying by credit card, enter name exactly as it appears on your card) (3) TOTAL AMOUNT PAID (dollars and cents) Robert Bosch LLC $70.00 (4) STREET ADDRESS LINE NO. 1 38000 Hills Tech Drive (5) STREET ADDRESS LINE NO. 2 (6) CITY (7) STATE (8) ZIP CODE Farmington Jills MI 48331 (9) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE) (10) COUNTRY CODE (IF NOT IN U.S.A.) 248-2070340 US FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQUIRED (11) PAYER (FRN) (12) FCC USE ONLY 0026613224 IF PAYER NAME AND THE APPLICANT NAME ARE DIFFERENT, COMPLETE SECTION B IF MORE THAN ONE APPLICANT, USE CONTINUATION SHEETS (FORM 159-C) (13) APPLICANT NAME Robert Bosch LLC (14) STREET ADDRESS LINE NO. 1 38000 Hills Tech Drive (15) STREET ADDRESS LINE NO. 2 (16) CITY (17) STATE (18) ZIP CODE Farmington Hills MI 48331 (19) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE) (20) COUNTRY CODE (IF NOT IN U.S.A.) 2482070340 US FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQUIRED (21) APPLICANT (FRN) (22) FCC USE ONLY 0026613224 COMPLETE SECTION C FOR EACH SERVICE, IF MORE BOXES ARE NEEDED, USE CONTINUATION SHEET (23A) FCC Call Sign/Other ID (24A) Payment Type Code(PTC) (25A) Quantity EAG 1 (26A) Fee Due for (PTC) (27A) Total Fee FCC Use Only $70.00 $70.00 (28A) FCC CODE 1 (29A) FCC CODE 2 2AMJS 13EA2AMJS (23B) FCC Call Sign/Other ID (24B) Payment Type Code(PTC) (25B) Quantity (26B) Fee Due for (PTC) (27B) Total Fee FCC Use Only

(28B) FCC CODE 1 (29B) FCC CODE 2


Document Created: 2019-04-08 12:47:35
Document Modified: 2019-04-08 12:47:35
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