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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:
0000017363
Submit Date:
11/15/2016
Call Sign:
K35JI-D
Facility ID:
181979
FRN:
0006773501
State:
Utah
City:
ORANGEVILLE
Service:
LPT
Purpose:
Annual Ancillary/Supplemental Service Report
Status:
Received
Status Date:
11/15/2016
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

EMERY COUNTY

Doing Business As: EMERY COUNTY

P.O. BOX 817

CASTLE DALE, UT 84513

United States

+1 (435) 381-3425 BRET.MILLS@ECSO.UTAH.GOV Government Entity

Authorization Holder Name

Contact Representatives (1)

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Contact Name Address Phone Email Contact Type

BRET MILLS

COMMUNICATIONS SPECIALIST

EMERY COUNTY

PO Box 817

CASTLEDALE, UT 84513

United States

+1 (435) 381-3425 BRET.MILLS@ECSO.UTAH.GOV Legal Representative

Ancillary/Supplementary Services

Call Sign City State Licensee
K23IE-D EMERY UT EMERY COUNTY
K21HZ-D EMERY UT EMERY COUNTY
K23JV-D GREEN RIVER UT EMERY COUNTY
K50JS-D ORANGEVILLE UT EMERY COUNTY
K22JG-D GREEN RIVER UT EMERY COUNTY
K46KK-D GREEN RIVER UT EMERY COUNTY
K38KP-D ORANGEVILLE UT EMERY COUNTY
K20JZ-D GREEN RIVER UT EMERY COUNTY
K28KR-D HUNTINGTON UT EMERY COUNTY
K25KU-D FERRON UT EMERY COUNTY
K21JX-D HUNTINGTON UT EMERY COUNTY
K24IP-D HUNTINGTON UT EMERY COUNTY
K22JI-D HUNTINGTON UT EMERY COUNTY
K28KN-D EMERY UT EMERY COUNTY
K25JA-D EMERY UT EMERY COUNTY
K18IT-D GREEN RIVER UT EMERY COUNTY
K27IS-D EMERY UT EMERY COUNTY
K49JJ-D ORANGEVILLE UT EMERY COUNTY
K26JN-D HUNTINGTON UT EMERY COUNTY
K51KU-D GREEN RIVER UT EMERY COUNTY
K32JI-D EMERY UT EMERY COUNTY
K47KK-D ORANGEVILLE UT EMERY COUNTY
K23JW-D FERRON UT EMERY COUNTY
K23JY-D HUNTINGTON UT EMERY COUNTY
K27KC-D FERRON UT EMERY COUNTY
K22JH-D FERRON UT EMERY COUNTY
K19GK-D EMERY UT EMERY COUNTY
K20KA-D FERRON UT EMERY COUNTY
K50LI-D GREEN RIVER UT EMERY COUNTY
K31LG-D EMERY UT EMERY COUNTY
K35JI-D ORANGEVILLE UT EMERY COUNTY
K40KD-D ORANGEVILLE UT EMERY COUNTY
K30KH-D EMERY UT EMERY COUNTY
K24IN-D GREEN RIVER UT EMERY COUNTY
K28KQ-D FERRON UT EMERY COUNTY
K51KX-D CASTLE DALE UT EMERY COUNTY
K29IZ-D HUNTINGTON UT EMERY COUNTY
K48KK-D ORANGEVILLE UT EMERY COUNTY
K29HK-D EMERY UT EMERY COUNTY
K26JM-D FERRON UT EMERY COUNTY
K17HR-D EMERY UT EMERY COUNTY
K20KB-D HUNTINGTON UT EMERY COUNTY
K29IY-D FERRON UT EMERY COUNTY
K21JV-D GREEN RIVER UT EMERY COUNTY
K27KE-D HUNTINGTON UT EMERY COUNTY
K48LR-D GREEN RIVER UT EMERY COUNTY
K25KV-D HUNTINGTON UT EMERY COUNTY
K36IF-D ORANGEVILLE UT EMERY COUNTY
K21JW-D FERRON UT EMERY COUNTY
K19ID-D GREEN RIVER UT EMERY COUNTY
K24IO-D FERRON UT EMERY 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.

BRET MILLS

COMMUNICATIONS SPECIALIST


11/15/2016

Attachments

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Information not provided.