Payment confirmation

0360-EX-CN-2019 Text Documents

ELTA North America

2019-04-30ELS_228793

4/30/2019                                                              FCC:Success:Form 159 - PRINTABLE VERSION




        Agency Tracking ID:PGC3240629 Authorization
                       Number:273233
         Successful Authorization -- Date Paid: 4/30/19
                     FILE COPY ONLY!!
  READ INSTRUCTIONS                                     FEDERAL COMMUNICATIONS COMMISSION                                                        APPROVED BY OMB
  CAREFULLY BEFORE
  PROCEEDING
                                                         REMITTANCE ADVICE                                                    SPECIAL USE
                                                                                                                                                          3060-059

                                                                          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)
                                                                                                                        $70.00
  ELTA North America
  (4) STREET ADDRESS LINE NO. 1
  11840 West Market Place
  (5) STREET ADDRESS LINE NO. 2
  Suite A
  (6) CITY                                                                                                    (7) STATE                 (8) ZIP CODE
  Fulton                                                                                                      MD                        20759-2075
  (9) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE)                                                (10) COUNTRY CODE (IF NOT IN U.S.A.)
  240-4591905                                                                                       US
                                   FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQUIRED
  (11) PAYER (FRN)                                                      (12) FCC USE ONLY
  0021371521
                                     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
  ELTA North America
  (14) STREET ADDRESS LINE NO. 1
  Avraham Abasov
  (15) STREET ADDRESS LINE NO. 2
  8955 Henkels Lane P.O. Box 20701
  (16) CITY                                                                                                  (17) STATE                (18) ZIP CODE
  Annapolis Junction                                                                                         MD                        20701
  (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) REQUIRED
  (21) APPLICANT (FRN)                                                  (22) FCC USE ONLY
  0021371521
                            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
                                    0360CN2019                                                                 EAE                                       1
  (26A) Fee Due for (PTC)                                                                (27A) Total Fee                                    FCC Use Only
                                         $70.00                                                               $70.00
  (28A) FCC CODE 1                                                               (29A) FCC CODE 2
                                                                                                                    13EL429164

  (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




https://pay.fcc.gov/ElectronicForm159/success_159_html/printed159_success.cfm                                                                                       1/2


4/30/2019                                                  FCC:Success:Form 159 - PRINTABLE VERSION




https://pay.fcc.gov/ElectronicForm159/success_159_html/printed159_success.cfm                         2/2



Document Created: 2019-04-30 17:07:40
Document Modified: 2019-04-30 17:07:40

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