Form 159

0060-EX-ST-2011 Text Documents

ShawnTech Communications, Inc.

2011-01-28ELS_112871

FCC:Success:Form 159 - PRINTABLE VERSION Page 1 of 1 Agency Tracking ID:PGC1898926 Authorization Number:047391 Successful Authorization -- Date Paid: 1/27/11 FILE COPY ONLY!! READ INSTRUCTIONS FEDERAL COMMUNICATIONS COMMISSION APPROVED BY OMB CAREFULLY BEFORE 3060-059 REMITTANCE ADVICE PROCEEDING FORM 159 PAGE NO 1 OF 1 SPECIAL USE (1) LOCKBOX #979095 FCC USE ONLY 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) ShawnTech Communications, Inc. $120.00 (4) STREET ADDRESS LINE NO. 1 1700 Lyons Rd. (5) STREET ADDRESS LINE NO. 2 Suite C (6) CITY (7) STATE (8) ZIP CODE Dayton OH 45458 (9) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE) (10) COUNTRY CODE (IF NOT IN U.S.A.) 937-8984724 US FCC REGISTRATION NUMBER (FRN) AND TAX IDENTIFICATION NUMBER (TIN) REQUIRED (11) PAYER (FRN) (12) FCC USE ONLY 0018990028 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 ShawnTech Communications, Inc. (14) STREET ADDRESS LINE NO. 1 Daniel DeCerbo Jr (15) STREET ADDRESS LINE NO. 2 1700 Lyons Rd. Suite C (16) CITY (17) STATE (18) ZIP CODE Dayton OH 45458 (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 0018990028 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 0060ST2011 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 13EL389132 (23B) FCC Call Sign/Other ID (24B) Payment Type Code(PTC) (25B) Quantity 0060ST2011 EAE 1 (26B) Fee Due for (PTC) (27B) Total Fee FCC Use Only $60.00 $60.00 (28B) FCC CODE 1 (29B) FCC CODE 2 13EL389132 https://pay.fcc.gov/ElectronicForm159/success_159_html/printed159_success.cfm 1/27/2011


Document Created: 2011-01-27 00:11:56
Document Modified: 2011-01-27 00:11:56
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