Form 159

0780-EX-PL-2013 Text Documents

Basic Commerce & Industries Inc

2013-12-17ELS_144093

Agency Tracking ID:PGC2434910 Authorization Number:017626 Successful Authorization -- Date Paid: 12/17/13 FILE COPY ONLY!! READ INSTRUCTIONS FEDERAL COMMUNICATIONS COMMISSION APPROVED BY OMB CAREFULLY BEFORE REMITTANCE ADVICE SPECIAL USE 3060-059 PROCEEDING FORM 159 PAGE NO 1 OF 1 FCC USE ONLY (1) LOCKBOX #979095 SECTION A - Payer Information (3) TOTAL AMOUNT PAID (dollars and cents) (2) PAYER NAME (if paying by credit card, enter name exactly as it appears on your card) $60.00 Basic Commerce and Industries (4) STREET ADDRESS LINE NO. 1 303 Harper Drive (5) STREET ADDRESS LINE NO. 2 (6) CITY (7) STATE (8) ZIP CODE Moorestown NJ 08057 (9) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE) (10) COUNTRY CODE (IF NOT IN U.S.A.) 856-5053377 x10 US FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQ UIRED (11) PAYER (FRN) (12) FCC USE ONLY 0016073678 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 Basic Commerce & Industries Inc (14) STREET ADDRESS LINE NO. 1 Timothy Maese (15) STREET ADDRESS LINE NO. 2 303 Harper Drive (16) CITY (17) STATE (18) ZIP CODE Moorestowm NJ 08057 (19) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE) (20) COUNTRY CODE (IF NOT IN U.S.A.) US FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQ UIRED (21) APPLICANT (FRN) (22) FCC USE ONLY 0016073678 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 0780PL2013 EAE 1 (26A) Fee Due for (PTC) (27A) Total Fee FCC Use Only $60.00 $60.00 (28A) FCC CODE 1 (29A) FCC CODE 2 13EL945787

(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: 2019-04-28 05:58:36
Document Modified: 2019-04-28 05:58:36
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