0011-EX-TN-2017

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Compliance Testing License

Applicant (Company) Name:

UNITED STATES OF AMERICA

Applicant's FCC Registration Number (FRN):

0026943563

Attention To:

FRB

City:

Sacramento

E-mail Address:

gr123go@outlook.com

P.O. Box:

N/A

State:

California

Street Address:

GENERAL DELIVERY

Zip Code:

95825

442 application form - Authorized Party to Sign

Signature Date:

2017-10-25 16:05:58.77

Signature of Applicant (Authorized person filing application):

Marie Davis

Title of Person Signing Application:

officer

442 application form - Eligibility Questions

Applicant affirms that they are a testing laboratory recognized by the FCC as being competent to perform measurements of equipment for equipment authorization under the FCC rules.

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

E-mail Address:

misss_916@yahoo.com

First Name:

Marie

Last Name:

davis

Phone Number:

9169006860

Title:

LOBBYIST

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2017-10-25 16:20:28.483

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

Currency copyright without vital records submission

442 application form - Location Information

City:

Anchorage

County:

Anchorage

North Latitude:

39 ° 35 ' 6 "

State:

Alaska

Street Address:

632 W 6th AVE 99501

West Longitude:

111 ° 48 ' 46 "

Notes

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