Form 159/Check

0010-EX-TU-2000 Text Documents

BellSouth Personal Communications, LLC

2002-03-13ELS_54337

READ INSTRUCTIONS CAREFULLY C Approved by OMB BEFORE PROCEEDING FEDERAL COMMUNICATIONS@@I}@{ N A l 3060—0589 REMITTANCE AD Page No ____ of (1) LOCKBOX # SPECIAL USE FCC USE ONLY 358320 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 (U.S. Dollars and Wilkinson Barker Knauer, LLP 50 .00 (4) STREET ADDRESS LINE NO. 1 2300 N Street, NW, Suite 700 (5) STREET ADDRESS LINE NO. 2 (6) CITY _ (7) STATE (8) ZIP CODE Washington, DC 20037 — (9) DAYTIME TELEPHONE NUMBER (include area code) (10) COUNTRY CODE (ifnot in U.S.A.) FCC REGISTRATION NUMBER (FRY *°~~TAv mrairttrr®aTIOQN NUMBER (TIN) REQUIRED (11) PAYER (FRN) ] 0521264167 L 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 Alloy LLC (14) STREET ADDRESS LINE NO. 1 c/o BellSouth Corp. (15) STREET ADDRESS LINE NO. 2 1155 Peachtree Street, NE, Suite 1700 (16) CITY (17) STATE (18) ZIP CODE Atlanta, GA 30309 — (19) DAYTIME TELEPHONE NUMBER (include area code) (20) COUNTRY CODE (if not in U.S.A.) FCC REGISTRATION NUMBER (FRM ann Tiy mrvTcr®a4jrJON NUMBER (TIN) REQUIRED (21) APPLICANT (FRN) 0742955068 COMPLETE SECTION C FOR EACH SERVICLr,; 1r MUKE BOXES ARE NEEDED, USE CONTINUATION SHEET (23A) CALL SIGN/OTHER ID (24A) PAYMENT TYPE CODE (25A) QUANTITY [KA2XBT EAE L A) FEE DUE FOR (PTC) (27A) TOTAL FEE FCC USE ONLY 50. 00 50. 00 (28A) FCC CODE 1 (29A) FCC CODE 2 (23B) CALL SIGN/OTHER ID (24B) PAYMENT TYPE CODE (25B) QUANTITY (26B) FEE DUE FOR (PTC) (27B) TOTAL FEE FCC USE ONLY (28B) FCC CODE 1 (29B) FCC CODE 2 SECTION D — CERTIFICATION (30) CERTIFICATION STATEMENT I, , certify under penalty of perjury that the foregoing and supporting information is true and correct to the best of my knowledge, information and belief. SIGNATURE DATE SECTION E — CREDIT CARD PAYMENT INFORMATION MASTERCARD/VISA ACCOUNT NUMBER: | EXPIRATION (31) [C] mastercarp L LE L L L L [ [ [ 1 [ 1 | | 5 I hereby authorize the FCC to charge my VISA or MASTERCARD for the service(s)/authorization herein described. VISA SIGNATURE DATE SEE PUBLIC BURDEN ON REVERSE FCC FORM 159 FEBRUARY 2000 (REVISED)

1 09—25—00 0358320 8320477 1 003 21 fgo * }Mmknm,u} 2200 N Street N.W., Quite 700 Washington, D.CG. 200837—1128 . |— > . : , L. 2200 Lo + u. PAY Fiftyand 00/100 Dollars.. ° TO ThG r ~ "x" rEDERAL COMMOMICATIONS CoRISSION — > . PO5B84kLr ©0540000308 O8LS1252e _ »000000s000+ { gppepres


Document Created: 2002-03-13 12:14:19
Document Modified: 2002-03-13 12:14:19
© 2025 FCC.report
This site is not affiliated with or endorsed by the FCC