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Affidavit for Connection of Customer Premises Equipment
TSU LT User Manual
I agree to provide ______________________ (telco's name) with proper documentation to demonstrate
compliance with the information as provided in the preceding paragraph, if so requested.
_________________________________Signature
_________________________________Title
_________________________________ Date
Transcribed and sworn to before me
This ________ day of _______________, _______
_________________________________
Notary Public
My commission expires:
_________________________________
8
© 2003 ADTRAN, Inc.
61203060L1-1A
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