Attachment Form 159

This document pretains to SAT-AMD-20040312-00030 for Amended Filing on a Satellite Space Stations filing.

IBFS_SATAMD2004031200030_368758

R E k D INSTRUCTIONS CAREFULLY Approved by O M 9 BEFORE PROCEEDING FEDERAL COMMUNICATIONS COMMISSION 30600589 REMITTANCE ADVICE SECTION A- PAYER INFORMATION (2) PAYER NAME (if paying by credit card enter name exactly as it appears on the card) (3) TOTAL AMOUNT PAID (U S Dollars and cents) Northrop Grumman Space & Missi $4.855.00 (4) STREET ADDRESS LINE NO I /. 1000 Wilson Blvd. ( 5 ) STREET ADDRESS LINE NO 2 tvLfilb 3.47- ~ O- GOOSO - ~ O C Y - 12 ~ Suite 2300 (6) CITY (7) STATE (8) ZIP CODE Arlinaton VA 22209 (9) DAYTIME TELEPHONE NUMBER (include area code) (10)COUNTRY CODE(ifnotinUS A ) 703 - 7417717 us FCC REGISTRATION NUMBER (FRN) REQUIRED IF MORETHAV OYE APPLICANT, USECO\TINLATIOI SHEETS(F0RM 159-C) COMPLETE SICTION BELON FOR EACH SERVICE, IF MORE BOXES ARE 4EEDED, USE CONTI\UATION SHEET (I3)APPLICANTNAME Northrop Grumman Space & Mission Svstems Corp. ( I 4) STREET ADDRESS LINE NO I 1000 Wilson Blvd. (15)STREETADDRESS L I N E N 0 2 Suite 2300 (16)ClTY ( I 7) STATE ( 1 8) ZIP CODE Arlinaton VA 22209 - (19) DAYTIME TELEPHONE NUMBER (include area code) (20) COUNTRY CODE (ifnot in U S A ) 703-741-7717 us FCC REGISTRATION NUMBER fFRN) REOUIRED (23A) CALL SlGNiOTHER ID (24A) PAYMENT TYPE CODE (25A) QUANTITY CAW 1 I 162004000565 (23B) CALL SIGN/OTHER ID (24B) PAYMENT TYPE CODE (25B) QUANTITY I SECTION D - CERTIFICATION CERTIFICATION STATEYENT 1, hAv Ill J. X€,lZ ,certify under penalty ofperjury that the foregoing and supporting information is true and correct to DATE 0s- 1.5- 2004 SECTION E - CREDIT CARD PAYMENT INFORMATION MASTERCARD-- VI%-- AMEX- DISCOVER-- ACCOUNT NUMBER EXPIRATION DATE I hereby authorize the FCC to charge mycredit card for the service(s)/authorizaticn herein described SIGNATURE DATE SEE PUBLIC BURDEN ON REVERSE FCC FORM 159 FEBRUARY 2003(REVlSED)


Document Created: 2004-03-25 15:10:00
Document Modified: 2004-03-25 15:10:00
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