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Licensing and Management System

Approved by OMB 3060-0906
May 2015
Go to the Federal Communications Commission homepage at www.fcc.gov

(REFERENCE COPY - Not for submission)Annual DTV Ancillary/Supplementary Services Report

File Number:
0000016580
Submit Date:
11/01/2016
Call Sign:
K39FT-D
Facility ID:
36341
FRN:
0009452178
State:
Utah
City:
GARFIELD, ETC.
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/01/2016
Filing Status:
Active


General Information

Section Question Response
Attachments Are attachments (other than associated schedules) being filed with this application? No

Applicant Information

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Applicant Name, Type, and Contact Information

Applicant Address Phone Email Applicant Type

GARFIELD COUNTY

Doing Business As: GARFIELD COUNTY

COURTHOUSE BLDG.

PANGUITCH, UT 84759

United States

+1 (435) 676-1120 camille.moore@garfield.utah.gov Government Entity

Authorization Holder Name

Contact Representatives (2)

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Contact Name Address Phone Email Contact Type

Camille Moore

Auditor/ Clerk

Garfield County

Camille Moore

55 south Main Street

Panguitch, UT 84759

United States

+1 (435) 676-1120 camille.moore@garfield.utah.gov Auditor/ Clerk

MAURI Kent Parsons

Central utah TV Translator coordinator

Garfield county

PO Box 473

MONROE, UT 84754

United States

+1 (435) 527-3508 mauriparsons@hotmail.com Technical Representative

Ancillary/Supplementary Services

Call Sign City State Licensee
K50LU-D HENRIEVILLE UT GARFIELD COUNTY
K19GJ-D HATCH UT GARFIELD COUNTY
K17JV-D BOULDER UT GARFIELD COUNTY
K19GQ-D TROPIC, ETC. UT GARFIELD COUNTY
K44IN-D HENRIEVILLE UT GARFIELD COUNTY
K23JZ-D BOULDER UT GARFIELD COUNTY
K23JX-D HATCH UT GARFIELD COUNTY
K47MD-D HENRIEVILLE UT GARFIELD COUNTY
K41JY-D HENRIEVILLE UT GARFIELD COUNTY
K31JF-D BOULDER UT GARFIELD COUNTY
K16EQ-D RURAL GARFIELD COUNT UT GARFIELD COUNTY
K36KQ-D PANGUITCH UT GARFIELD COUNTY
K19GV-D ESCALANTE UT GARFIELD COUNTY
K21KI-D HATCH UT GARFIELD COUNTY
K38KF-D PANGUITCH UT GARFIELD COUNTY
K40JD-D HENRIEVILLE UT GARFIELD COUNTY
K23IW-D ESCALANTE UT GARFIELD COUNTY
K45LF-D PANGUITCH UT GARFIELD COUNTY
K25KW-D HATCH UT GARFIELD COUNTY
K27ID-D TROPIC & CANNONVILLE UT GARFIELD COUNTY
K21II-D TROPIC, ETC. UT GARFIELD COUNTY
K21IQ-D ESCALANTE UT GARFIELD COUNTY
K32HQ-D BOULDER UT GARFIELD COUNTY
K26GD-D GARFIELD COUNTY UT GARFIELD COUNTY
K33IZ-D BOULDER UT GARFIELD COUNTY
K29GJ-D TROPIC & CANNONVILLE UT GARFIELD COUNTY
K39JG-D PANGUITCH UT GARFIELD COUNTY
K51AH-D RURAL GARFIELD COUN UT GARFIELD COUNTY
K45JS-D HENRIVILLE UT GARFIELD COUNTY
K46JI-D PANGUITCH, ETC. UT GARFIELD COUNTY
K33HX-D TROPIC & CANNONVILLE UT GARFIELD COUNTY
K30GA-D GARFIELD COUNTY UT GARFIELD COUNTY
K18FT-D RURAL GARFIELD COUNT UT GARFIELD COUNTY
K15HE-D HATCH UT GARFIELD COUNTY
K17HQ-D HATCH UT GARFIELD COUNTY
K20GE-D GARFIELD, ETC. UT GARFIELD COUNTY
K25NL-D TROPIC UT GARFIELD COUNTY
K39JA-D HENRIEVILLE UT GARFIELD COUNTY
K21JY-D BOULDER UT GARFIELD COUNTY
K28GM-D RURAL GARFIELD COUNT UT GARFIELD COUNTY
K17IA-D ESCALANTE UT GARFIELD COUNTY
K19IE-D BOULDER UT GARFIELD COUNTY
K23IK-D CANNONVILLE UT GARFIELD COUNTY
K31JE-D ESCALANTE UT GARFIELD COUNTY
K45BY-D GARFIELD, ETC. UT GARFIELD COUNTY
K29HN-D ESCALANTE UT GARFIELD COUNTY
K41EB-D GARFIELD COUNTY UT GARFIELD COUNTY
K07ZE-D RURAL JUAB, ETC., UT GARFIELD COUNTY
K17HV-D TROPIC/CANNONVILLE UT GARFIELD COUNTY
K25LP-D ESCALANTE UT GARFIELD COUNTY
K40JL-D PANGUITCH UT GARFIELD COUNTY
K27KD-D HATCH UT GARFIELD COUNTY
K46JB-D HENRIEVILLE UT GARFIELD COUNTY
K49AG-D GARFIELD, ETC UT GARFIELD COUNTY
K27IT-D ESCALANTE UT GARFIELD COUNTY
K25KX-D BOULDER UT GARFIELD COUNTY
K38GQ-D HATCH UT GARFIELD COUNTY
K13OG-D RURAL JUAB, ETC. UT GARFIELD COUNTY
K44IU-D PANGUITCH UT GARFIELD COUNTY
K47AB-D GARFIELD, ETC. UT GARFIELD COUNTY

Certification

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Section Question Response
General Certification Statements The Applicant waives any claim to the use of any particular frequency or of the electromagnetic spectrum as against the regulatory power of the United States because of the previous use of the same, whether by authorization or otherwise, and requests an Authorization in accordance with this application (See Section 304 of the Communications Act of 1934, as amended.).
The Applicant certifies that neither the Applicant nor any other party to the application is subject to a denial of Federal benefits pursuant to §5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862, because of a conviction for possession or distribution of a controlled substance. This certification does not apply to applications filed in services exempted under §1.2002(c) of the rules, 47 CFR . See §1.2002(b) of the rules, 47 CFR §1.2002(b), for the definition of "party to the application" as used in this certification §1.2002(c). The Applicant certifies that all statements made in this application and in the exhibits, attachments, or documents incorporated by reference are material, are part of this application, and are true, complete, correct, and made in good faith.
Authorized Party to Sign

FAILURE TO SIGN THIS APPLICATION MAY RESULT IN DISMISSAL OF THE APPLICATION AND FORFEITURE OF ANY FEES PAID

Upon grant of this application, the Authorization Holder may be subject to certain construction or coverage requirements. Failure to meet the construction or coverage requirements will result in automatic cancellation of the Authorization. Consult appropriate FCC regulations to determine the construction or coverage requirements that apply to the type of Authorization requested in this application.

WILLFUL FALSE STATEMENTS MADE ON THIS FORM OR ANY ATTACHMENTS ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT (U.S. Code, Title 18, §1001) AND/OR REVOCATION OF ANY STATION AUTHORIZATION (U.S. Code, Title 47, §312(a)(1)), AND/OR FORFEITURE (U.S. Code, Title 47, §503).

I certify that this application includes all required and relevant attachments. Yes
I declare, under penalty of perjury, that I am an authorized representative of the above-named applicant for the Authorization(s) specified above.

Mauri Parsons

Central Utah TV Translator Coordinator


11/01/2016

Attachments

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Information not provided.