Attachment Form 159

This document pretains to SAT-AMD-20040312-00032 for Amended Filing on a Satellite Space Stations filing.

IBFS_SATAMD2004031200032_368761

READ INSTRUCTIONS CAREFULLY Approved by OMB BEFORE PROCEEDING FEDERAL COMMUNICATIONS COMMISSION 30604589 REMITTANCE ADVICE SECTION A - PAYERINFORMATION (2) PAYER NAME (if paying by credit card enter name exactly as it appears onthe card) (3) TOTAL AMOUNT PAID (U S Dollars andcents) NorthroD Grumman Space 8, Missi $1.410.00 I (4) STREET ADDRESS LINENO 1 1000 Wilson Blvd. (5) STREET ADDRESS LINE NO 2 Suite 2300 (6) CITY (7) STATE (8)ZIPCODE Arlinaton VA 22209 (9) DAYTIME TELEPHONE NUMBER (include area code) (IO) COUNTRY CODE (if notin U.S.A.) - 703 7417717 us FCC REGISTRATION NUMBER (FRN),REOUIRED~ . ~~~ I F MORE THAN ONE APPLICANT. USE CONTISUATION SHEETS (FORM 159-C) COMPLETE SECTION BELOW FOR EACH SERVICE, IFMORE BOXES ARE NEEDED, USE CONT~NUATION SHEET (13) APPLICANT NAME Northrop Grumman Space & Mission Svstems Corp. (14) STREET ADDRESS LINE NO 1 1000 Wilson Blvd. ( 1 5) STREET ADDRESS LINE NO 2 Suite 2300 (16)CITY I (I7)STATE I (18)ZIPCODE Arlinaton I VA 22209 - (19) DAYTIME TELEPHONE NUMBER (include area code) (20) COUNTRY CODE (if not in U.S.A.) 703-741-7717 us F C C REGISTRATION NUMBER(FRN) REQUIRED (21) 9PPLICANT(FRN) ( 2 2 i w C USE0M.V . - - I 0004843553 -. COMPLETE SECTION C FOR EACH SERVICE. I F MORE BOXES ARE AEEDED. LSE CONTINLATIOA SHFFT ~ (23A) CALL SIGNIOTHER ID (24A) PAYMENT TYPE CODE (25A) QUANTITY CWY 1 I 1B2004000567 (238) CALL SIGN/OTHER ID (248) PAYMENT TYPE CODE (258) Q U A N T I N I SECTION D - CERTIFICATION going and supporting information i s true and correct to SIGNATURE D A T E - IS - 700cI ~ ~ SECTION E - CREDIT CARD PAYMENT INFORMATION MASTERCARD-- VISA-- AMEX--- DISCOVER-- ACCOUNT NUMBER EXPIRATION DATE 1 hereby authorize the FCC to charge my credit card for the service(s)/authorizatim herein described SIGNATURE DATE SEE PUBLIC BURDEN ON REVERSE FCC FORM 159 FEBRUARY 2003(REVISED)


Document Created: 2004-03-25 15:13:42
Document Modified: 2004-03-25 15:13:42
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