Form 159

0238-EX-RR-2015 Correspondence

Thinkify, LLC

2015-05-18ELS_162460

MAY ii 2O1 READ INSTRUCTIONS CAREFULLY Approved by 0MB BEFORE PROCEEDING FEDERAL COMMUNICATIONS COMMISSION 3060-0589 REMITTANCE ADVICE Page Nol of 1 (1) LOCKB SPEcIAL Usr ONLY US BANKJFcc SECTION A- PAYER INFORMATION (2) PAYERNAME (if paying by credit card enter name exactly as it appears onthe card) (3) TOTAL AMOINT I'AID (L'S. Dollars and c 'nt) Thinkify LLC $65.00 (4) STREET ADDRESS LINE NO.1 118450 Technology Drive (5) STREET ADDRESS LINE NO.2 Suite E (61 CITY (7)5-rATE (8) ZIP CODE Morgan Hill CA 95037 (9) DAYTIME TELEPHONE NUMBER (include area code) (10) COUNTRY CODE (if not in U.S.A.) 408-7827111 US FCC REGISTRATION NUSIBFR (PEN) REQUIRED (II)PAYER(FRN) (12)l-CCIISEONLY 0018801704 IF MORETHAN ONE API'I IC NT. USE CON I INL .\TION SHEETS (FORM 159-C) COMPLETE SECTION BELOSV FOR EACh SERVICE, IF MORE BOXES ARL NEEDED, USE CONrINUAT1O.\ sinur (13) APPLICANT NAME Thinkify, LLC (14) STRBETADDRESS LINENO.I Curt Carrender (I5)STREET ADDRESS LINE NO.2 18450 Technology Drive, Suite El (16) CITY (17) STATE >18) ZIP CODE Morgan Hill CA 95037 (19) DAYTIME TELEPHONE NUMBER (include area code) (20) COUNTRY CODE (if not in U.S.A.) (408) 782-7111 US FCC REGISTRATION NUSI1IER (F RN) REQUIRED (21) APPLICANT(FRN) 122) FCC USE ONLY 0018801704 COMPLETE SECTION C FOR EACH SERVICE, ir MORL BOXI'S REN LEDED. (SE CONTINUATION SHEET (23A) CALL SIGN/OTHER ID (24A) PAYMENT TYPE CUDF )25.) QUANTITY 0238RR2015 . EAE 1 (26A) FEE DUE FOR (PTC) (27A) TOTAL FEE FCC I ISE ONLY $65.00 $65.00 (28At FCC CODE I (29A) FCC CODE 2 13EL405909 (2331 CALL SIGN/OTIIER ID (243) PAYMENT TYPE CODE (25B) QUANTITY (263) FEE DUE FOR (PTC) (27B)TOTAL FEE IL'C USE ONLY (28B)FCC CODE) (29B) FCC CODE 2 SECTION B - CERTIFICATION CERTIJ(ICA'EOSTATEMENT I, ,ce rtify under penalty ofperpury that the foregoing and supporting information is Irue and correct to the best of nay knowledge, info n' lion and belief SIGNATURE _ - SECTION E - CREDIT CARD PAYMENT INFORMATION DATE S /5 / MASTERCARD VISA AMEX DISCOVER ACCOUNT NUMBER__________________________________________ EXPIRATION DATE ____________________________ I hereby authorize the FCC to charge my credit card for the service(s)/auihorizaiimi herein described. SIGNATURE__________________________________________________________ DATE_____________________________ SEE PUBLIC BURDEN ON REVERSE FCC FORM 159 FEBRUARY 2003(REVISED)


Document Created: 2015-05-18 09:20:11
Document Modified: 2015-05-18 09:20:11
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