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P
B - 4
AGE
A
B
PPENDIX
I attest that the operator(s)/maintainer(s) of the digital CPE
responsible for the establishment, maintenance, and adjustment
of the encoded analog content and billing information has (have)
been trained to perform these functions by successfully having
completed one of the following (check appropriate blocks):
[ ] A. A training course provided by the manufacturer/grantee of the
equipment used to encode analog signals; or
[
] B. A training course provided by the customer or authorized
representative, using training materials and instructions provided by the
manufacturer/grantee of the equipment used to encode analog signals;
or
[ ] C. An independent training course (e.g., trade school or technical
institution) recognized by the manufacturer/grantee of the equipment
used to encode analog signals; or
[ ] D. In lieu of the preceding training requirements, the operator(s)/
maintainer(s) is (are) under the control of a supervisor trained in
accordance with (C
I agree to provide ________________________________________
with proper documentation to demonstrate compliance with the
information as provided in the preceding paragraph, if so
requested.
______________________________________________________
______________________________________________________
______________________________________________________
Transcribed and sworn to before me
this __________ day of _______________, __________
______________________________________________________
My commission expires ___________________________________
O
) above.
IRCLE
NE
61280.003L1-1B
(T
N
)
ELCO
AME
(S
)
IGNATURE
(T
)
ITLE
(D
)
ATE
(N
P
)
OTARY
UBLIC
4/12/99
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