Fee Refund

0512-EX-PL-2006 Text Documents

Bushtex, Inc.

2006-09-12ELS_77913

Message Page 1 of 2 Nancy Hey From: Adelaida Severson [adelaida@bushtex.com] Sent: Monday, September 11, 2006 2:41 PM To: Nancy Hey Subject: RE: refund Thank you very much for the explicit instructions. .. this will help me greatly! If | run into any problems, | mightjust give you an email/call.... Thanks! Adelaida V. Severson, Ph.D. Bushtex, Inc. +1.480.471.6688 — office +1.480.832.0943 — fax +1.602.561.3418 — mobile www.bushtex.com From: Nancy Hey [mailto:Nancy.Hey@fcc.gov] Sent: Monday, September 11, 2006 10:42 AM To: Adelaida Severson Subject: RE: refund That is correct, because when you paid the second time, it went into a different account. Explain to her that the $155 was for an erroneously filed international Bureau form. Do not give her your experimental file number, however, as this will not be associated with anything in their database. *** Non—Public: For Internal Use Only *** -----Original Message————— From: Adelaida Severson [mailto:adelaida@bushtex.com] Sent: Monday, September 11, 2006 1:09 PM To: Nancy Hey Subject: RE: refund I apparently have a request already into her for $100, so | better call her back and let her know that it is for the full $155. The application would not go through unless I paid again..... Thanks! Adelaida V. Severson, Ph.D. Bushtex, Inc. +1,480.471.6688 — office +1.480.832.0943 — fax +1.602.561,.3418 — mobile www.bushtex.com From: Nancy Hey [mailto:Nancy.Hey@fcc.gov] Sent: Monday, September 11, 2006 8:33 AM To: adelaida@bushtex.com Subject: refund Please address your request for a refund of the $155 to Beverly Bryant, International Bureau, Rm 1—A762, 455 12th St. SW, Washington DC 20554. You can explain to her that you mistakenly filed on one of their forms, when you had in fact intended to file an experimental form. 9/12/2006

Message Page 2 of 2 Thank you, Nancy Hey ————— Original Message————— From: Nancy Hey Sent: Thursday, August 31, 2006 2:20 PM To: ‘adelaida@bushtex.com‘ Subject: Your application Your application has been received on 8/28/06, and has been assigned the file number 0512—EX— PL—2006 Nancy Hey *** Non—Public: For Internal Use Only *** 9/12/2006

FEDERAL COMMUNICATIONS COMMISSION DATE: 07/26/06 BUREAU/CREDIT & DEBT MANAGEMENT CENTER TWO—WAY CORRESPONDENCE FORM TO: APPLICANT‘S NAME: D CCB — Room I:l ‘ Dr. Adelaida V Severson / I:l Credit & Debt Management Other (Specify Bureau Bushtex, Inc D OET — RéRoom and Room Number) Center~ Reet D MMB — Room FEE CONTROL NUMBER: 0605238180889058 FROM: I:] Credit & Debt M t D CCB — Room D Other (Specify Bureau CALL SIGN/FCC OTHER ID: I:] oet—R and Room Number) ente — Room Center oom _—— _ WBXXH — Room I:l MMB — Room This Is To Notify You That Subject Application Return Or Refund For The Following Reason(s): Required Further Action: L NO FEE REQUIRED (§1.1 11 1a(1)) L©OOOOO aA® U O 0O O COK O0DO0U O NO FEE RECEIVED — FEE REQUIRED U APPLICATION ATTACHED INSUFFICIENT FEE — APPLICATION DISMISSED WITHIN 30 DAYS (S1.1 1 1 1a(2)) D PROCESS APPLICATION DOES NOT MEET AGE REQUIREMENT ($1.1 1 1 1a(3)) L FEE NOT ELIGIBLE FOR REFUND NEW RULE, LAW OR TREATY ($1.1 1 1 1a(4)) L OTHER — PLEASE EXPLAIN IN REMARKS SECTION WAIVER ($1.1 1 1 1a(5)) OVERPAYMENT Overpayment UNTIMELY FILED WINDOW FILING ($1.1 11 1a(5)) FIRST COME, FIRST SERVED CONSTRUCTION PERIMI® Amount: $100.00 (§1.1111(C) FRN: 0015056815 MODIFICATION OF EXISTING/PENDING AUTHORIZATIC (§11112(a)) FCN: 0605238160863001 GOVERNMENT ENTITY ($1.1 1 12(a)) WIT #7533 NONCOMMERCIAL EDUCATIONAL OR INSTRUCTIONAL Office of Eng & Tech SERVICE (§1.1 1 12(cXdxXeX1,2,3}) INSTRUCTIONAL TV FIXED STATION EXEMPTION (§11 1 12(cx4)) RESTRICTED RADIOTELEPHONE ($1.1 1 12(Ex4.5)) & n & 0 3 0 ® No fee required or excessive fee Overpayment Advance Payment subject to S$1.1 1 52 New rule — license not valid License surrendered (PR services) Section 8 Application declined, return regulatory fee BUREAU/OFFICE CONTACT: BUREAU/OFFICE CONTACT: FOR CREDIT & DEBT MANAGEMENT CENTER ONLY D Copy Returned to Bureau Date Received: Action Taken: BY: DATE:

/. FEDERAL COMMUNICATIONS COMMISSION pate ... __ BUREAUWCREDIT & DEBT MANAGEMENT CENTER osr22106 ~ ‘ TWO—WAY CORRESPONDENCE FORM L TO: APPLICANT‘S NAME: W creter [ Cen L ©08—Room dd@—bodRoobtmm @nbgeimentt 19 D Dr. Adelaida V Severson / D Other (Specify Bureau Rushtex, Inc OET ~ Room and Room Number) D MMB — Room FEE CONTROL NUMBER: D 0605238 180889058 / FROM: D CCB — Room Other (Specify ang Roon. Bureau Numbery D Crediti & Debt Management CALL SIGN/FCC OTHER ID: Center — Room WBXXH D OET — Room [_] MMB — Room This Is To Notify You That Subject Application Return Or Refund For The Following Reason(s): Required Further Action: J NO FEE RECEIVED — FEE REQUIRED [] no ree reaquireo (s144i4a(t)) [] APPLICATION ATTACHED D INSUFFICIENT FEE — APPLICATION DISMISSED WITHIN 30 DAYS (S1.1 1 1 1a(2)) [] Process APPLicaTION D DOES NOT MEET AGE REQUIREMENT ($1.1 1 1 1a(3)) J FEE NOT ELIGIBLE FOR REFUND [] new rute, Law oR tReaty (§194 11 1a(4) [] OTHER -\;}EASE EXPLAIN IN REMARKS SECTION [] waiver (s154114a(5)) EM)VERPAYMENT Overpayment [_] untimeLy FILED wINDow FILING (§1.1 11 1a(5)) [] Frirst come, First sERVED CONSTRUCTION PERIMI Amt.$100.00 ($11111(C)) FRN:0015056815 MODIFICATION OF EXISTING/PENDING AUTHORIZATLH (§1.4111 2(a)) FCN: 0605238160863001 [] covernment entity (s1.1 1 12(a)) JINTERNATIONAL BUREAU APPROVAL D NONCOMMERCIAL EDUCATIONAL OR INSTRUCTIONA REQUIRED re> SERVICE ($1.1 1 12(cXdXeX1,2,3)) WITH 7533 \ dET Appreen« [_] INSTRUCTIONAL TV FIXED STATION EXEMPTION ($1.1 1 12(cx4)) RESTRICTED RADIOTELEPHONE ($1.1 1 12(Ex4.5)) Regulatory Fee: 8OOOO No fee required or excessive fee Overpayment Advance Payment subject to S1.1 1 52 New rule — license not valid License surrendered (PR services) Section 8 Application declined, return regulatory fee BUREAU/OFFICE CONTACT: BUREAU/OFFICE CONTACT: FOR CREDIT & DEBT MANAGEMENT CENTER ONLY D Copy Returned to Bureau Date Received: Action Taken: BY: DATE: *For Refund, Overpayment Provide Justification in Remarks Section. COPY DISTRIBUTION: Original and 1 copy to forwarding office; 1 copy retained by originating office Form A September

HELP DESK LOG FORM TrackingNumber lfi:‘l_——-_— Todays Date: ]371_5/20_0-6__' Call Start Time _ Call End Time: [_ 2005 JX 2 Help Desk Operator (Preparer): Source: ITeIephone . _Voice Mail (418—1995) _ _ _ e Contact Name: JAdelaide V Severson Primary FRN: Joo10790210 Additional FRN (s): | ‘ Company Name: IBushtex, Inc Contact Address: [13817 East Shannon Street JGilbert Jaz J85296 Contact Phone: |4808320943 Contact Email: | Contact Fax: | Issue Presented by Contact: Red Light Letter ID: I Red Light Ltr Date: l Date of Request for Reconsideration or subsequent appeal: Reference: Date of Dismissal: I Tax Payer Identification Number: Was payment or challenge received within 30 days of the date of the red—light notice? uo T3 Enter Date of Payment or Challenge: c_. .L C;’._‘ Recommend Reinstatement of service or license: -o—- — — — — — ~, Reinstatement Reason: :_ C /q DCV w Comments: ActionTaken Issue Reslvd Date: |

Incoming Communication Tracking — Entry Screen | Letters Sent ‘TrackingNumber_ J 7533 |DateReceived_ 6/157/2006 2 day [ ‘FileNumber ____ J iDateFiled_ ___ 671572006 30 day ‘DateCompleted iDate Complieted _ r—_—_ 60 day 60 day (2) — C General Information | Source [Phone Call Sign JN/A Program JOther FCC Code 1 j Communication Type [Refund FCC Code 2 ] Bureau OMD Licensing ] System Secondary Bureau IOEI' Wavier | $0.00 : Amount Applicant/Contact Information | FRN |0010790210 Applicant Name [Bushtex, Inc Address 1 J[13817 East Shannon Street Address 2 J City, State Zip [Gilbert JAz Jes296 Contact Name lAdelaide V Severson Additional FRN ] . Contact Phone |(480) 832—0943 Additional Namd Assignment/Status Information | Assigned To J[PEROT Disposition Status IOpen e Assigned To POC [Sherry Elkheshin Outcome | . i RE Filer ID | . e Bill Number ‘ 222 oo Date Assigned Fee Control Numbel . Reassigned To I 'l..-——_f_— Date Reassigned 2nd Reassigned To 2nd Date Reassigned Assignment/Status Information | Comments Client would like a refund in the amount of $100.00 as she overpaid on a $55.00 STA application. See _ attached fax and proof of payment.

»MWke .u.r 13817 Cast Shunnan Street, Cailbert, AZ. 85296 PHM: (4e8o0)471—668a8 FAX: (+s0)332—09+3 wow.bushtex.com I”_MAIL info@bushtex.com ‘TQO; Shcie Help Desk Federal Communications Commission FAX: ((202418—7869 FR: Adelaida V. Severson FAX: (480)832—0943 VOICE: (480)471—6688 RE: Request for refund FRN #: 0010—7902—10 DT: 15 June 2006 # OF PAGES: 4 (including cover) Sherrie: Thank you for you help on this. I am requesting a refund of $100.00 for an incorrect charge on an STA. Apparently, the charge for the application is only $55.00 and I was charged $155.00,. 1 have attached a copy of the bank statcment with the debit of $155.00 to show proof that it was charged Back in March/April of this year, I wantcd to apply for an extension on an existing STA under our company name, Bushtex, lnc. (File # 0130—EX—ST—2005) When I called the FCC to ask what I had to do cxactly and after being transferred about 5 different times, the final represcntative on the phonesaid T had to fill out a Form 312, Form 159, and form 405. I did exactly that and then received the attached letter from the FCC. 1 then applicd for another FRN, as another representative toid me to do this after I called to clarify how I had to respond to this letrer. I did so and thought that my application had been guing to the process all this time, since my delit card was charged. I just recesved a call yesterday from Nancy Hcy (202)418—2432 of the FCC. She called to let me know that my application cannot be processed. Apparently, 1 had filed the wrong type of application. She then transferred me to Doug Young, (202}418—2440, who clarified everything for me and suggested I apply for a Form 442. He said that it was only a $55.00 application fee and that I should probably try to see about applying what 1 had already paid and gct the refund. He mentioned it might be quite a process and gave me two phone numbers to start with: (202)418—1996 and (202)418—1924. The first number is disconnected and I just decided to call the number on the letter (202)418—1995 and gotr you. I have also faxed the confirmation information for the Form 442 for which I applicd. Please let me know if there is anything else you need from me. Thank%&_——_’ you for your Ade.lsudn V. Severson Bushtex, Inc. poo/lco@ INI°X3LHSNG x¥i 81 60 gooa/§sl/3c

Primary Account: 2509227595 | Page 4 of a Enclogures 0 Apr 29, 2008 to May 31, 2006 BUSHTEX INC Withdrawals and Other Debits (cont‘d) Date Amaunt Description May 19 477.54 DEBIT FOR CHECKCARD 9421473330 05/10/06 FASTENAL CO MO TO 5074530920 MN May 19 239.10 BEBIT FOR CHECKCAAD §421 467614 05/1 7706 SOUTHWESTA!IRAS2627227471 DALLAS TX May 19 46.06 DEBIT FOR CHECKCAMO 9421473330 05/17/06 ‘THE HOME DEPOT 471 QLOERT AZ May 19 2222 DEBIT FOR CHECKCARD 9421467514 O&/17/086 THE VUPS STORE #5470 QILBERT AZ May 19 78.66 PURCHASE FROM OOA — CNS LOWE‘$ INTLK 00799242 05/19/06 CARD 9421473330 POS —AT CNS LOWE‘S GILBERT A May 22 173.206 DEgIT FOR CHECKCARD 9421467514 04/19/06 QUALITY INN — GREEN TRE VICTORVILLE CA May 22 105.92 DEBIT FOR CHECKCARD 9421467514 0519706 COMFORT INN & SUITNo 5h LANCASTER CA May 22 14.00 OEBIT FOR CHECKCARD 9421473330 0§/18/06 08881 CIRCUIT CITY #3580 GILBERT AZ May 22 11.05 DEBIT FOR CHECKCARD 8421473330 O¥/20/06 OSCO DRUG 9298 GILBERT AZ May 22 2903.68 PURCHASE FROM DDA — SOU STAPLES #1 \ INTLK 100000001 05/22/08 CAMD 9421467514 POS —AT BOU STAPLES #1308 QILBERAT a May 23 (Ey PUACHASE FROM ODA — SOU MICHAELS # INTLK 00000001 08/23/06 CARD 8421467514 AT—SQV MICHAELS #9808 MEGAAZ May 24 DEBIT FORc KCARLDLA421 467514 6 EEDERAL COMMUNICATIONS WASHIN §TON L819 1 May 24 HUNTER STEAKNCUSE 21 028 SAN DIEQO CA May 24 93.39 DEBIT FOR CHECKCARD 9421473390 05/22/06 MORAONGC BANO OF MISSION CABAZON CA May 24 75.00 OEBIT FOR CHECKCARD 9421473330 05/22/06 SHELL OIL 67441722402 GiLBERT AZ May 24 60.39 DEBIT FOR CHECKCAROD 9421467514 05/23/06 SAMGUNGPARTS 800—6274368 NJ May 24 15.64 DEBIT FOR CHECKCARD $421473930 05/22/06 SHELL OIL 57441722402 QiLHERT AZ May 24 $2.74 PURCHASE FROM DDA — CNS LOWE‘S INTLK 00799242 05/24/06 CARD 9421467514 POS —AT CNS LOWE‘S GILBERT a May 24 55.64 PURCHASE FROM DDA — CNS LOWE‘§ INTLK 00799242 05/24/08 CARD 9421467514 PO8 —AT CNS LOWE‘S GILBERT A May 25 93.88 DEBIT FOR CHECKCARD 9421473330 05/23/06 HUNTER STEAKHOUSE 21023 SAN DIEQO CA May 25 43.08 DEBIT POR CHECKCARD 9421473330 0§/23/08 HUNTEA STEAKKHOUSE 21028 SAN DiEGO Ca May 26 2398.66 DEBT FOR CHECKCARD 9421467514 05/25/06 COMFORT INN Z/8W CHICB SAN DIEGO CA May 26 236.66 DEBIT FOR CHECKCARO 9421467614 G§/25/06 _ COMFORT INN Z/8W CHICB SAN DIEGO CA May 26 75.79 DEBIT FOR CMECKCAAD 9421479330 O§/24/06 LOVES COUNTRY 00003285 CHANDLER AZ May 26 32.44 DEBIT FOR CHECKCARO 9421473330 04/24/06 RANCHOC CORONA RESTAURAN SAN DIEGO CA boo/20o INI*X%31HSNA X¥1 81 60 g002/§1/3(

OS:’/Z’ 06 FEDERAL COMMUNICATIONS COMMISSION Washington, DC 20554 . Re: FRN 0 0 10— 7962 —i® Ageladoa V Severson CalSign® W GAxx L FCC Code #1 . FCC Cade #2 .~ \%%\'7 Efl\*’ SLlaqqoq S"F_ A-eé' BQJL\W , f/,Q Giolbert / A2z2 2594G — Dear FCC Customer. Re: Return of Unprocessable Application This is to notify you that your application is being returned for the following reasons: ( ) No applicationfiling accompanied your submission. ( ) No remittance sccompanicd your submission. Please refer to the appropriate Pee Piling Guide. { ) The remittance for payment type code is now $ ( ) Your check is not acceptable for this reason: { ) Muliple checks for a single application are not accopted, please send one check for $ { ) No remittance advice (PCC Form 159) accompanied your submission. S "1("‘" _ lt fne L¥#5)4;p — 766 ( ) The payment type code is needed. {\ ( ) The remittance advice form (FCC Form 159) is incomplete, ( ) The credit card section of FPCC Form 159. Remittance Advice needs Expiration Date Signature 00 (\G/Bk-ck 3 must be completed (please enter $ ISs g‘ to authorize u credit card charge, only the credit card holder can complete this item. ( ) Your credit card was denied by Authorizations, plcase confirm or correct card numiber. ( ) Your credit card was declined; if any questions, plcise contact bank that issued card. ( ) The PCC Form 159, Remuttance Advice. used is obsoiete. Please use the February 2003 edstion. Sec the FCC‘s websitc for a copy of this form. { ‘(The paycr/applicant PCC Registration Number (FRN) is missing from the Form 159. This number is required in o:der to process your filing. Sce enclosed News Release for further assistance. Tw Qa+.A~<€3 ceanot (hart 44kt Sor\ V\i . ( ) Payment for your electromically filed applicaticd cannot be processed without the confirmation number in the FCC Code 2 block of the ECC Form 159. Kom- ?l“;e_ SQAA CfiMQ‘CM «ee\M*LOA eo( P“xmgn-\» flel QO@‘.&. C G_S 11 4o loctboy §S@ 1GO Please refer to the enclosed Pee Fillng Guide for further instuctions, and mail your corrected application, remittance advice form aud plymemlo t Appropriate P.Q. Box in Pittsburgh, PA. If you have further questions, please contact the FCC, Revenuc and Receivables Group at 202—418—1995. 7 7{ y 5’3 24 b Sincerely, . 0«‘\"‘0’\ PUC Financial Operations 1. For Office Use Only: Enciosures: q. ns @Gurte—A / Filing Guide (G & { . Check(s) # c& $ _T Proc #1 EC(?F;fln(I) 1. x>~ i @ / qo(/ Rec‘d in i.OQ. Box # _§__a__9_ Froc #2 M *\ o/ga »eersee®1 NU Kamsne hva si so sooarsi/s0

OET FCC FORM 442 Confirmation Page Page 1 of3 FCC Home | Search | Updates | E—Filing | Initiatives | For Consumers | Fina People Office of Engineering and Technology ECC > FCC E—filing > ELS > FCC FORM 442 OET Home Page The administrative portion of the Form 442 has Filing Options been submitted successfuilly to the OET Eorm 405 Experimental Licensing Branch. Please print or Form 442 record the following information and save for future Form 702 reference: Form703 Form 442 Confirmation Number: EL421297 SpecialTemporary Form 442 File Number: 0305—EX—PL—2006 Attachments Date of Submission: June 15, 2006 RepilytoCorrespondence Press this button to proceed to technical data. Amend/CompleteApplication Return to 159. Form Below are Instructions for entering technical data most efficiently, especially for applications that have saveral locations with similar or identical frequencies and Reports emigolons. On most screans there is a "View Filing" button that can be used to easity identify migsing data. Common mistakes are antering frequencies on only ApplicationStatus one of several antennas and emissions on only one of many frequencies. It is highly suggested that the first—time or infrequent filer print these Instructions prior to Call Sign Search attempting to enter technical data. Genetic. Search I. All the data for the first location (antenna) should be entered Point Radiua Search prior to starting a second location (antenna). This includes location information and antenna characteristics, frequency, power, frequency tolerance, emission and bandwidth data. Miscollaneous II. All the data for the first frequency (frequency, power, frequency toierance, emission and bandwidth) on the first Get FRN antenna should be entered prior to starting another frequency or antenna. After entering the first frequency, and all others Manus! entered after, the user must click "Add More Frequencies" and GetSoftware then click the resulitant link in the frequency list at the bottom FAQ of the screen in order to add emissions. All emissions that are common to other frequencies should be eontered at this time. Emissions that are unique to a particular frequency can be added using the system‘s editing features after common emissions are added to other frequencies. The "Add More Emissions" button must be clicked after each emisslon, even the last one to be entered in order for the database to save the emission III. Click "Proceed" after entering the last emission to view a summary of the data submitted to this point. The "Accept" button on the bottom of this data summary screen should only be used if all the technical data is complete. Otherwige, click the "Add Data/Make Changes" button to continue adding technical data. On the next screen with "OET Amend/Complete" followed by the file number in the titie bar, the next logical step hitps://gulifoss2.fec.gov/prod/oet/cf/els/forms/442AdminConfirmation.cfm 6/14/2006 boo/boo INnI*°xX31HSNq xX¥1 B1 60 g002/§1l7/9¢

Non—Public For Internal Use Only RAMIS ACCOUNT RECEIVABLES Tharsday dune 15. 2006 1749 PM Header Details : f Payer Details : Fee Control Number : 0605238160863001 Payer FRN : 0015056815 Payer Name : SEVERSON, ADELAIDA V V Customer FRN : 0015056815 Payer TIN : Address : PO BOX 1407 : Customer Name : Dr. Adelaida V Severson 83;7555-?SLZSE-AQEJE%ON STREET CD Number : 596981 Date Received : 5719706 Type Collection : FEE CD Date 10— 5723106 Check No i 000000000000 Payment Type : CCARD Transaction Date : 5/19/06 Credit Card No : 4357609421467514 Transit Routing : 000000000 Receipt Amount : $155.00 Line Details : Seq || ApplicantFRN| Applicant Name _ . ‘ App. TIN Call Sign Fec Code 1 Fec Code 2 PTC ‘oty) ‘Applied Amt 1 0010790210 BUSHTEX INC WBXXH cos 1 $155.00 _ N Total : $155.00 58 0‘75 To I B av rf P2 2 % th e firr@d 7@6 79‘[ j//{ coe L2 ‘/1‘7‘9 6%5’ Ffl\/me“ c 7,)/(/€ CA F{)( figg%%:% OET§ Z’:Y Y}mficfllf/ LW MQ ’ 5}7 4%( / /Id fi /)0 di ab 7%/ ie /‘ 4o , Ffi ]gLQ ”fl / l @ f . 2 P al e las ne re ve b i« th e o5l07/2065 om \ 1 Z Ef fp ‘w 4 j% Vl ézj/l;/% 7[@/ 7 ns h W@) 4r allac hed sleet Che pare bebreT a [7 7: .. ; LMT on 7[\/\0 w 14 EB w)y l e /é C O o /‘pfOfl uxt VOV &Mtf Cl e ‘ ; Xslhi j16ffit Ohé) /P{ «; j e Wq o flfl [w //y f 0s Thu h ca EL&G never dmje/hi> a0¢ &j %7/ | 0Z i a 146 1


Document Created: 2006-09-12 09:59:25
Document Modified: 2006-09-12 09:59:25
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