Attachment Form 159

This document pretains to SAT-STA-20040206-00080 for Special Temporal Authority on a Satellite Space Stations filing.

IBFS_SATSTA2004020600080_368765

certify under penalty ofperpry that the foregoing and supportmg informatron is true and correct to DATE 2kd/Of SECTION E - CREDIT CARD PAYMENT INFORMATION MASTERCARD- "=- AMEX- DISCOVER___ ACCOUNT NUMBER - EXPIRATION DATE -- I hereby authorize the FCC to charge my credit card for the service(s)/authorization herem described SIGNATURE DATE SEE PUBLIC BURDEN ON REVERSE FCC FORM 159 FEBRUARY 2003(REVISED)


Document Created: 2004-04-12 14:33:56
Document Modified: 2004-04-12 14:33:56
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