Application Form

This document pretains to SES-STA-20080109-00029 for Special Temporal Authority on a Satellite Earth Station filing.

Approved by OMB
3060-0678
APPLICATION FOR EARTH STATION SPECIAL TEMPORARY AUTHORITY


APPLICANT INFORMATION

Enter a description of this application to identify it on the main menu:

Vislink 978-671-5939
978-671-5941
101 Billerica Ave [email protected]
Bldg. 6
North Billerica MA
USA 01862 -1256
Mr Robert J Lungo

Mr Robert J Lungo 978-671-5939
Vislink 978-671-5941
101 Billerica Ave E-Mail: [email protected]
Bldg 6
North Billerica MA
USA 01862 -1256
Mr Robert J Lungo Same
(If your application is related to an application filed with the Commission, enter either the file number or the IB Submission ID of the related application. Please enter only one.)
3. Reference File Number
or Submission ID
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).
Governmental Entity Noncommercial educational licensee
Other(please explain):

4b. Fee Classification CGX - Fixed Satellite Transmit/Receive Earth Station
5. Type Request
Use Prior to Grant Change Station Location Other
6. Requested Use Prior Date
01/11/2008
7. CityN Billerica 8. Latitude
(dd mm ss.s h)
42 36 12.0 N
9. State MA 10. Longitude
(dd mm ss.s h)
71 16 49.0 W
11. Please supply any need attachments.
Attachment 1: CovLtr Attachment 2: 2Degree Attachment 3: TechEXRadHaz
12. Description. STA request for operation at MRC's faility in N Billerica, Ma and at Florida Nation Guard in Jacksonville, Fl. (location and satellite transponder to be determined). This STA is request for a period of 45 days beginning 1/11/2008.
13. By checking Yes, the undersigned certifies that neither applicant nor any other party to the application is subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the meaning of "party to the application" for these purposes. Yes No
14. Name of Person Signing
Richard Miller
15. Title of Person Signing
Manager, Systems Eng & Apps
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND / OR IMPRISONMENT
(U.S. Code, Title 18, Section 1001), AND/OR REVOCATION OF ANY STATION AUTHORIZATION
(U.S. Code, Title 47, Section 312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, Section 503).



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