Attachment Ext STA

This document pretains to SES-STA-20050210-00167 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2005021000167_417144

ECC — Application for Earth Station SIA bmj/svafljfoss;.fc&;.gov/cgj-bin/ws.exe/prod/ib/fonns/gemppn.hts 5040444 SESSTA-20050210 -00167 182005000290 etroCom License Cor poration thamey 6 m {FC) Federal Communications Commussion APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORIFY¥—~ FOR OFFICIAL USE ONLY [Click here for INSTRUCTIONS.] %% 2 Menu APPLICANT INFORMATION Enter a description of this application to identify it on the main menu: STA to conduct testing of earth station antenna prior to deployment 1. Applicant Name: PetroCom License Corporation Phone Number: 504—736—9400 gBA. ame: Fax Number: 504—734—6100 Street: 5901 Earhart Expressway E—Mail: jdenton@petrocom.c City: Harahan State: LA Country: USA Zipcode: 70123 — Attention: Mr. Jon Denton 2. Contact Name: Russell H. Fox Phone Number: 2 Company: Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, PC Fax Number: 202—434—7400 Street: 701 Pennsylvania Avenue, NW E—Mail: RFox@mintz.com Suite 900 City: Washington DC State: _ DC Country: USA Zipcode: 20004 — gfixl-;t:clct Attorney Relationship: Legal Counsel 3. Reference File Number SESLIC2004112201722 4a. Is a fee submitted with this application? * if Yes, complete and attach FCC Form 159. If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114). C Governmental Entity ©~ Noncommercial educational licensee & Other(please explain): 4b. Fee Classification CGX 5. Type Request 1 of 2 2/11/2005 11:25 AM


Document Created: 2005-02-11 16:23:19
Document Modified: 2005-02-11 16:23:19
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