Attachment Form 312

This document pretains to SES-STA-20130715-00588 for Special Temporal Authority on a Satellite Earth Station filing.

IBFS_SESSTA2013071500588_1003887

                                                                                              Approved by OMB
                                                                                                    3060—0678

Date & Time Filed: Jul 15 2013 2:57:41:596PM
File Number: SES—LIC—INTR2013—01487
Callsign/Satellite ID:


                     APPLICATION FOR EARTH STATION AUTHORIZATIONS              FCC Use Only

                                     FCC 312 MAIN FORM
                                  FOR OFFICIAL USE ONLY


APPLICANT INFORMATION
Enter a description of this application to identify it on the main menu:
Televisa SA de CV — Mobile 1
1—8. Legal Name ofApplicant

           Name:         TELEVISA, SA de CV               Phone Number:    2028281860

           DBA                                            Fax Number:      2029555564
           Name:
           Street:       800 17TH STREET NW, STE          E—Mail:          NORM.LEVENTHAL@HKLAW.
                         1100                                              COM


           City:         WASHINGTON                       State:
           Country:      USA                              Zipcode:            +
           Attention:    NORMAN LEVENTHAL ESQ


9~16. Name of Contact Representative

           Name:        NORM LEVENTHAL            Phone Number:   2028281860
           Company:     HOLLAND & KNIGHT          Fax Number:     2029555564
           Street:      800 17TH STREET NW, STE   E—Mail:         NORM.LEVENTHAL@HKLAW,
                        1100                                      COM


           City:        WASHINGTON                State:          DC
           Country:     USA                       Zipcode:        20006—3906
           Attention:   Norm Leventhal            Relationship:   Legal Counsel


CLASSIFICATION OF FILING
 17. Choose the button next to the                  b.
 classification that applies to this filing for    @» b1. Application for License of New Station
both questions a. and b. Choose only one
for 17a and only one for 176.                      0 b2. Application
                                                           P         for Registration of New Domestic Receive—Only Station
                                                  (N/A) b3. Amendment to a Pending Application
  a.                                              (N/A) b4. Modification of License or Registration
 @ al. Earth Station                              (N/A) b5. Assignment ofLicense or Registration
                                                  (N/A) b6. Transfer of Control of License or Registration
(N/A) a2. Space Station
                                                  (N/A) b7. Notification of Minor Modification
                                                  (N/A) b8. Application for License of New Receive—Only Station Using Non—U.S. Licensed
                                                  Satellite
                                                   (N/A) b9. Letter ofIntent to Use Non—U.S. Licensed Satellite to Provide Servicein the United
                                                  States
                                                   > b10. Other (Pleasespecify)
                                                   0 b11. Application for Earth Station to Access a Non—U.S.satellite Not Currently Authorized to
                                                  Provide the Proposed Service in the Proposed Frequencies in the United States.
                                                     {> b12. Application for Database Entry
                                                    (N/A) b13. Amendmentto a Pending Database Entry Application
                                                    (N/A) b14. Modifiction of Database Entry
   17¢. Is a fee submitted with this application?
 @ If ¥es, complete and attach FCC Form 159.             If No, indicate reason for fee exemption (see 47 C.F.R.Section 1.1114).
 > Governmental Entity         3 Noncommercial educational licensee
 £> Other(please explain):

 174.

 Fee Classification CYB — Mobile Satellite Earth Stations Individual
 Earth Station


 18. If this filing is in reference to an    19. If this filing is an amendment to a pending application enter:
 mating station. @fiters                    (a) Date pending application was filed:              (b) File number of pending application:
 (a) Call sign of station:
 Not Applicable                              Not Applicable                                      Not Applicable



TYPE OF SERVICE
20. NATURE OF SERVICE: This filing is for an authorizationto provide or use the following type(s) of service(s): Select all that apply:


E a. Fixed Satellite
D b. Mobile Satellite
D c. Radiodetermination Satellite
D d. Earth Exploration Satellite
D e. Direct to Home Fixed Satellite
D £. Digital Audio Radio Service
D g. Other (please specify)

21. STATUS: Choose the button next to the applicable status. Choose      |22. If earth station applicant, check all that apply.
only one.                                                                E Using U.S. licensed satellites
  g3 Common Carrier          ® Non—Common Carrier                         D Using Non—U.S. licensed satellites

23. If applicant is providng INTERNATIONAL COMMON CARRIER service, see instructions regarding Sec. 214 filings. Choose one. Are these
facilities:
       £3 Connected to a Public Switched Network @) Not connected to a Public Switched Network 0 N/A


 24. FREQUENCY BAND(S): Place an "X" in the box(es) next to all applicable frequency band(s).
E a. C—Band (4/6 GHz)       D b. Ku—Band (12/14 GHz)
D c.Other (Please specify upper and lower frequencies in MHz.)
      Frequency Lower:      Frequency Upper:


TYPE OF STATION
25. CLASS OF STATION: Choose the button next to the class of station that applies. Choose only one.
     ) a. Fixed Earth Station
     @ b. Temporary—Fixed Earth Station
     [ c. 12/14 GHz VSAT Network
     { d. Mobile Earth Station
    (N/A) e. Geostationary Space Station
    (N/A) f. Non—Geostationary Space Station
    [ 2. Other (please specify)


26. TYPE OF EARTH STATION FACILITY: Choose only one.
   @ Transmit/Receive [> Transmit—Only ¢y Receive—Only ¢y NA


PURPOSE OF MODIFICATION


27. The purpose of this proposed modification is to: (Place an ‘X" in the box(es) next to all that apply.)


Not Applicable


ENVIRONMENTAL POLICY


 28. Would a Commission grant of any proposal in this application or amendment        have a significant                 gve        @N
 environmental impact as defined by 47 CFR 1.1307? IfYES, submit the     statement as required by Sections
 1.1308 and 1.1311 of the Commission‘s rules,   47 C.ER. §§ 1.1308 and 1.1311, as an exhibit to this
 application.A Radiation Hazard Study    must accompany all applications for new transmitting facilities, major
 modifications,    or major amendments.



ALIEN OWNERSHIP Earth station applicants not proposing to provide broadcast, common carrier, aeronautical en route or
acronautical fixed radio station services are not required to respond to Items 30—34.


29. Is the applicanta foreign government or therepresentative of any foreign government?                               0 Yes @ No




 30. Is the applicant an alien or the representative of an alien?                                                      @ Ye q No q NA




31. Is the applicant a corporation organized under the laws of any forcign government?                                 @ Yes 0 No 0 NA




 32. Is the applicant a corporation of which more than one—fifth of the capital stock is owned of record or voted by   @ Y# oN o NA
 aliens or their representatives or by a foreign government or representative thereofor by any corporation organized
 under the laws of a foreign country?


33. Is the applicant a corporationdirectly or indirectly controlled by any other corporation of which more than           @ Ys oN o NA
one—fourth of the capital stock is owned of record or voted by aliens, their representatives, or by a foreign
government or representative thereofor by any corporation organized under the laws of a foreign country?




34. If any answer to questions 29, 30, 31, 32 and/or 33 is Yes, attach as an exhibit an identification of the aliens or    Alien Ownership
foreign entities, their nationality, their relationship to the applicant, and the percentage of stock they own or vote.



BASIC QUALIFICATIONS


35. Does the Applicant request any waivers or exemptions from any of the Commission‘s Rules?                                _ Yes     @ No
IfYes, attach as an exhibit, copies of the requests for waivers or exceptions with supporting documents.




36. Has theapplicant or any party to this application or amendment had any FCC station authorization or license             o Yes     @ No
revoked or had any application for an initial, modification or renewal of FCC station authorization, license, or
construction permit denied by the Commission? IfYes, attach as an exhibit, an explination of cireumstances.


37. Has theapplicant, or any party to this application or amendment, or anyparty directly or indirectly controlling     g Yos   @ No
the applicantever been convictedof a felony by any state or federal court? IfYes, attach as an exhibit, an
explination of cireumstances.




38. Has any court finally adjudged the applicant, or any person directly or indirectly controlling the applicant,        Yes    @No
guilty of unlawfully monopolizing or attemptiing unlawfully to monopolize radio communication, directly or
indirectly, through control of manufacture or sale of radio apparatus, exclusive traffic arrangement or any other
means or unfair methods of competition?IfYes, attach as an exhibit, an explanation ofcircumstances




39.Is the applicant, or any person directly or indirectly controlling the applicant, currently a party in any pending   _ Yes   oNo
matter referred to in the preceding two items? If yes, attach as an exhinit, an explanation of the circumstances.




40. If the applicant is a corporation and is applying for a space station license, attach as an exhibit the names,
address, and citizenship of those stockholders owning a record and/or voting 10 percentor moreof the Filer‘s
voting stock and the percentages so held. In the case of fiduciary control, indicate the beneficiary(ies) or class of
beneficiaries. Also list the names and addresses of the officers and directors of the Filer.


41. By checking Yes, the undersigned certifies, that neither applicant nor any otherparty to the application is                Yes      g No
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.




422. Does the applicant intend to use a non—U.S. licensed satellite to provide service in the United States? IfYes,         © Yes       @ No
answer 42b and attach an exhibit providing the information specified in 47 C.F.R. 25.137, as appropriate. IfNo,
proceed to question 43.




42b. What administration has licensed or is in the process oflicensing the space station? If no license will be issued, what administration has
coordinated or is in the process of coordinating the space station?U.$.




43. Description. (Summarize the nature ofthe application and theservices to be provided).                       (If the complete description does
not appear in this box, please go to the end of the form to view it in its entirety.)
    Televisa is a television company in Mexico City which uses these facilities to cover
    sporting events in the U.S. for transmission to Mexico City


432. Geographic Service Rule Certification                                                                                   @ A
By selecting A, the undersigned certifies that the applicantis not subject to the geographic service or geographic
coverage requirements specified in 47 C.F.R. Part 25.
                                                                                                                             0B
Byselecting B, the undersigned certifies that the applicant is subject to the geographic service or geographic
coverage requirements specified in 47 C.F.R. Part 25 and will comply with such requirements.
                                                                                                                             oC
By selecting C, the undersigned certifies that the applicant is subject to the geographic service or geographic
coverage requirements specified in 47 C.F.R. Part 25 and will not comply with such requirements because it is not
feasible as a technical matter to do so, or that, while technically feasible, such services would require so many
compromises in satellite design and operation as to makeit economically unreasonable. A narrative description
and technical analysis demonstrating this claim are attached.




CERTIFICATION
The Applicant waives any claim to the use of any particular frequency or of theelectromagnetic spectrum as against theregulatory power ofthe
United States becauseof the previous use of the same, whether by license or otherwise, and requests an authorization in accordance with this
application. The applicant certifies that grant of this application would not cause the applicant to be in violationof the spectrum aggregation limit
in 47 CFR Part 20. All statements made in exhibits are a material part hereof and are incorporated herein as if set out in full in this application.
The undersigned, individually and for the applicant, hereby certifies that all statements madein this application and in all attached exhibits are
true, complete and correct to the best of his or her knowledge and belief, and are madein good faith.


44. Applicantis a (an): (Choose the button next to applicable response.)

> Individual
> Unincorporated Association
y Partnership
@ Corporation
> Governmental Entity
0 Other(please specify)




   45. Name of Person Signing                                              46. Title of Person Signing
   William Aguirre Ballesteros                                             General Satellite Director of Televisa


47. Please supply any need attachments.
 Attachment 1:                                    Attachment 2:                                    Attachment 3:




           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).


                                               SATELLITE EARTH STATION AUTHORIZATIONS
                                         FCC Form 312 — Schedule B:(Technical and Operational Description)
                                                          FOR OFFICIAL USE ONLY



Location of Earth Station Site

E1: Site Identifier:    CONUS              ES. Call Sign:      NEW

E2: Contact Name       William Aguirre     E6. Phone           525552247161
                       Ballesteros         Number:
E3. Street:            1001 Russell Street E7. City:           Multiple


                                           E8. County:         Baltimore

E4. State              MD                  E9. Zip Code        21230

E10. Area of Operation:                    M&T Bank Stadium
E11. Latitude:         0 °0 ‘0.0 "N
E12. Longitude:        0 °0 °0.0 "W
E13. Lat/Lon Coordinates are:               gNaD—27            @ NAD—83           ©NA


E14. Site Elevation (AMSL):                0.0 meters




12


E15. If the proposed antenna(s) operate in the Fixed Satellite Service (FSS) with geostationary satellites, do(es) the
proposed antenna(s) comply with the antenna gain patternsspecified in Section 25.209(a) and (b) as demonstrated
                                                                                                                         @Ys     N   GNA
by the manufacturer‘s qualification measurement? If NO, provide as a technical analysis showing compliance with
two—degree spacing policy.


E16. If the proposed antenna(s) do not operate in the Fixed Satellite Service (FSS), or if they operate in the Fixed
Satellite Service (FSS) with non—geostationary satellites, do(es) the proposed antenna(s) comply with the antenna
                                                                                                                         gYe     N   @NA
gain patterns specified in Section 25.209(a2) and (b) as demonstrated by the manufacturer‘s qualification
measurements?


E17. Is the facility operated by remotecontrol? IfYES, provide thelocation and telephone number of the control
point.
                                                                                                                         C Yes   @ No




E18. Is frequency coordination required? IfYES, attach a frequency coordination report as
                                                                                                                         C Yes   @ No


E19. Is coordination with another country required? IfYES, attach the nameof the country(ies) and plot of
coordination contours as                                                                                                 g Yes   @ No


E20. FAA Notification — (See 47 CFR Part 17 and 47 CFR part 25.113(c)) Where FAA notification is required, have
you attached a copy of a completed FCC Form 854 and or the FAA‘s study regarding the potential hazard ofthe
                                                                                                                g Yes            @ No
structure to aviation?
FAILURE TO COMPLY WITH 47 CFR PARTS 17 AND 25 WILL RESULT IN THE RETURN OF THIS
APPLICATION.
POINTS OF COMMUNICATION
     Satellite Name:OTHER | OTHER |       If you selected OTHER, please enter the following:



13


E21. Common Name: ALSAT                                              E22. ITU Name:
E23. Orbit Location:                                                 E24. Country: USA
     POINTS OF COMMUNICATION (Destination Points)
E25. Site Identifier: CONUS
E26. Common Name:                                                    E27. Country:Mexico
ANTENNA
Site ID                E28. Antenna Id   |E29. Quantity     E30.                E31. Model          E32. Antenna      E41/42. Antenna
                                                            Manufacturer                            Size<meters>      GainTransmint
                                                                                                                      and/or Recieve
                                                                                                                      (    dBi at
                                                                                                                            GHz)
CONUS                  TVSA—~Mob1        1                  Vertex              Vertex 2.4 M SM—    |2.4              38.1 dBi at 3.95
                                                                                14
                                                                                                                      42.0 dBi at 6175



E28. Antenna      |E33/34.          E35. Above       E36. Above Sea |E37. Building    |E38. Total          E39.         E40. Total
Id                Diameter          Ground           Level<BR>       Height Above     |Input Power at |Maximum       EIRP for al
                  Minor/Major       |Level<BR>       (meters)        Ground           antenna         Antenna Height carriers<BR>
                  (meters)          (meters)                         Level<BR>        flange<BR>      Above          (dBw)
                                                                     (meters)         (Watts)         Rooftop<BR>
                                                                                                           (meters)

TVSA—Mobl         [2.4/2.4          6.149            0.0             0.0              350.0                10.0         67.44
FREQUENCY
E28. Antenna Id        |E43/44.          E45. T/R Mode      E46. Antenna        E47. Emission       £48. Maximum     [E49. Maximum
                       Frequency Bands                      Polarization(H,V,   |Designator         EIRP per Carrier |ERIP Density per
                       (MHz)                                LR)                                     (dBw)            Carrier
                                                                                                                      (dBW/4kHz)



14


TVSA—Mob!            3700           4200   |R                    Horizontal and        36MOGTW               0.0                   0.0
                                                                 Vertical
    E50. Modulation and Services      (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       SCPC Digital carrier transmitting video and audio service (NS3, DVB—S2)




TVSA—Mob1            3700           4200   |R                    Horizontal and        6AKOGTW               0.0                   0.0
                                                                 Vertical
     E50. Modulation and Services     (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       SCPC Digital carrier transmitting video and audio service                                (NS3, DVB—S2)




TVSA—~Mobl           5925           6425   |T                    Horizontal and        36MOG7W               67.44                 27.9
                                                                 Vertical
    E50. Modulation and Services      (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       §CPC Digital carrier transmitting video and audio service                                (NS3, DVB—§2)




15


TVSA—Mobl            5925           6425   |T                      Horizontal and      36MOGTW                67.44                21.9
                                                                   Vertical
     E50. Modulation and Services     (If the complete description does not appear in this box, please go to the end ofthe form to view it in its
entirety.)
       SCPC Digital carrier transmitting video and audio service                                 (NS3, DVB—S2)




TVSA~Mob1            5925           6425   |T                      Horizontal and      6AKOGTW                38.97                27.9
                                                                   Vertical
    E50. Modulation and Services      (If the complete description does not appear in this box, please go to the end of the form to view it in its
entirety.)
       SCPC Digital carrier transmitting video and audio service (NS3, DVB—S2)




FREQUENCY COORDINATION
E28.             ES1. Satellite   |ES2/53.        E54/55.            E56. Earth      E57.             E58. Earth       E59.               E60.
Antenna Id       |Orbit Type      |Frequency      Range of           Station         Antenna          Station          Antenna            Maximum
                                  Limits(MHz)     |Satellite Are     —|Azimuth       Elevation        Azimuth          Elevation          EIRP Density
                                                  E/W Limit          Angle           Angle            Angle            Angle              toward the
                                                                     Eastern Limit   |Eastern Limit   Western          Western            Horizon
                                                                                                      Limit            Limit              (dBW/AkHz)

TVSA—Mob1        |Geostationary 13700             74.0/139.0         (0.0            5.0              0.0              5.0                0.0
                                4200




16


                  Geostationary (5925                 74.0/ 139.0      10.0       5.0             0.0             5.0             —1.0
                                6425
REMOTE CONTROL POINT LOCATION
     E61. Call Sign                                                           E65. Phone Number

     NOTE: Please enter the callsign of the controlling station, not the
callsign for which this application is being filed.
     E62. Street Address



     E63. City                                           E67. County                                    E64/68.              E66. Zip Code
                                                                                                  State/Country
                                                                                                    /


FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT

The public reporting for this collection of information is estimated to average0.25 — 24 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of
information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you,
please write to the Federal Communications Commission, AMD—PERM, Paperwork Reduction Project (3060—0678), Washington, DC 20554.
We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to
PRA@fee.gov. PLEASE DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

Remember You are not required to respond to a collection ofinformation sponsored by the Federal government, and the government may not
conduct or sponsor this collection, unless it displays a currently valid OMB control number orif we fail to provide you with this notice. This
collection has beenassigned an OMB control number of 3060—0678.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104—13, OCTOBER
1, 1995, 44 U.S.C. SECTION 3507.




17


                                                                                     EXHIBIT 1
                                                                            Televisa S.A. de C.V.
                                                                                  FCC Form 312
                                                                                 Questions 30—34
                                                                                       July, 2013
                                                                                            1 of 1

                                     ALIEN OWNERSHIP

       The applicant, Televisa S.A. de C.V., is a Mexican corporation the majority of whose
corporate officers and directors are Citizens of the United Mexican States ("Mexico). Televisa is
owned by Grupo Televisa, S.A.B. a Mexican Corporation based in Mexico City ("Televisa").
Grupo Televisa is owned by public shareholders located worldwide.

        Such ownership by non—U.S.entities is not a bar to the grant of a Termporary Fixed Earth
Station authorization. Indeed, Bay City Television, Inc., a sister company, also ultimately owned
by Grupo Televisa, itself currently holds such authorizations as well as a 325 permit to transmit
Tocal news and other programming electronically to Station XETV(TV), Tijuana, B.C., Mexico
(File No. 325—RWL—20130430—00001).

        Neither Televisa nor Grupo Televisa are representativesofa foreign government.




#24263138_vi


  ACKNOWLEDGEMENT OF FREQUENCY COORDINATION REQUIREMENTS AND FREQUENCY
             COORDINATION CERTIFICATION FOR C—BAND OPERATION



ACKNOWLEDGEMENT OF FREQUENCY COORDINATION REQUIREMENTS

The applicant acknowledges that they are familiar with the FCC Rules
and Regulations Part 25.130 (b), this rule states that a frequency
coordination analysis will be submitted with this application. However
this request for application is for a transportable earth station that
will operate at various locations throughout the United States and its
territories and no specific site is identified during the filing
process.
The applicant does not request that the coordination process be
circumvented only that no coordination exhibit is required for this
transportable application. The following certification demonstrates
that the applicant will follow the coordination process required for
temporary earth station operation.

FREQUENCY COORDINATION CERTIFICATION FOR C—BAND OPERATION

The applicant certifies that they are familiar with Parts 101 and 25 of
the   FCC   Rules   and Regulations regarding the          frequency   coordination
process.    The   applicant   is   aware of   and agrees   to perform an analysis
and notification to potentially affected carriers prior to transmitting
at each location. Copies of all coordination notices will be forwarded
to the FCC Operations Center Office in Columbia, Maryland.


         FCC IBFS — Electronic Filing

         Submission_id :1B2013001487
Successfully filed on :Jul 15 2013 2:57:41:596PM



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   AD INSTRUCTIONS                                       FEDERAL COMMUNICATIONS COMMISSION                                                            APPROVED BY 01
|carerurcy seeors                                                                                                                                              3060—05
roceepmia                                                 REMITTANCE ADVICE
                                                                          FORM 159
                                                                         raGENO 1 of 1                                        serciar use
1) LOCKBOX 979093


                                                                         SECTION A — Paver Information
2) PAYER NAME (if paying by credit card, enter name exactly as it appears on your card)                                  3;;1‘75”6'{-’““0”"" PAID (doliars and cents)
 OLLAND & KNIGHT LLP                                                                                                      4     7
4) STREET ADDRESS LINE NO. 1
800 177H STREET, STE. 1100
[5) stREET ADDRESS LINE NO.2
  ELECOM—C. NAFTALIN
 ©cry                                                                                                            mStaTe
  ‘ASHINGTON                                                                                                    - 0006—3906

                                                                                                      s
[9) DAYTIME TELEPHONE NUMBER (INCLUDING AREA CODE)                                                   10) COUNTRY CopE (IF NOTIN USA)



                                     ECC REGISTRATION NUMBER (FRN)              AND TaX IDENTIEICATION NUMBER            (TiN) REOUMED
m eavir eray                                                                              12FCC USE ONLY
004148995
                                       IF PAYER NAME AND THE APPLICANT NAME ARE DIFFERENT, COMPLETE SECTION B
                               IF MORE THAN ONE APPLICANT, USE CONTINUATION SHEETS (FORM 159.0
[13) APPLICANT NamE
|TELEVISA, SA de CV
 14) STREET ADDRESS LINE NO. 1
  00 17TH STREET NW, STE 1100
[15)stret ApprEss LNE NO.2

16) CiTy
   ‘ASHINGTON
[19) ayrimE TELEPHONE NUMBER INCLUDING AREA CODE)

                                     ECC REGISTRATION NUMBER (FRN)
                                                                                                      s
                                                                                                     20) COUNTRY CODE (IF NOT IN U.S A )

                                                                                AND TAX IDENTIEICATION NUMBER (TIN) REQUIRED

miscscass_
0016686628
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                       $2,315.00                                                                              $2315.00
kemmmnonmmemmmmmmmmmmmmmmssidiliidid
2sA) ECC CopE 1                      29A) FCC CopE2
                                                                                                                182013001487

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Agency Tracking ID: PGC2355575
Transaction Type: Sale
Transaction Date: Jul 15, 2013 2:59:33 PM

Account Holder Name: HOLLAND & KNIGHT LLP Transaction Amount: $2,315.00 Billing Address: 800
17TH STREET, STE. 1100 Billing Address 2: N. Leventhal
City: WASHINGTON
State/Province: DC
Zip/Postal Code: 200063906
Country: USA
Card Type: AmericanExpress
Card: Number: ************1009


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Document Created: 2013-07-15 15:18:22
Document Modified: 2013-07-15 15:18:22

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