1instructions, 2certifica tion, Read, fill in blanks and sign – Kenwood MASTER PROTALK TK-3131 User Manual

Page 52: I hereby certify that

Federal Communications Commission

1270 Fairfield Road

Gettysburg PA 17325-7245

Approved by OMB

3060-0136

Estimated public

burden is 6 minutes

TEMPORARY PERMIT T

OPERA

GENERAL MOBILE RADIO SERVICE SYSTEM

Public reporting burden for this collection of information is estimated to average six minutes per response, including the time

for revie

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the coll

of information. Send comments regarding this burden estimate, or any other aspect of this collection of information, inclu

suggestions for reducing the burden to Federal Communications Commission, AMD-PERM, Washington, DC 20554, Paperwork Reducti

Project (3060-0136), or via the Internet to [email protected].

INSTRUCTIONS

Use this form only if you want a Temporary Permit in the General Mobile Radio Service to share

multiple-licensed or cooperative-shared

mobile

relay station while

your

application,

FCC

Form 574

being

processed by the Federal Communications Commission.

Do not use this form

you

operate an

individual

, non-shared

station

or if you will be the

first

user

of a

facility

intended for shared use.

Do not use this form for any radio service other than the General Mobile Radio Service.

Do not use this form unless you are an

individual.

Partnerships

, associations

, corporations

and

governmental

entites are not eligible for a license in the General Mobile Radio Service.

CERTIFICA

TION

Read, Fill in

Blanks and Sign

I am not a foreign government or a representative thereof.

I am eligible in the General Mobile Radio Service under Rule Section 95.5.

I have not been denied a license or had my license revoked by the FCC.

I am not the subject of any other legal action concerning the operation of a radio station.

My completed Form 574 has been mailed to the FCC.

I hereby certify that:

Mailing Address of

Applicant (Number

, Street, City

, State, ZIP

Code)

Name of

Applicant

Date Form 574 Mailed to FCC