Cabletron Systems ETWMIM User Manual page 100

Ethernet / token ring / wan media interface module
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AFFIDAVIT FOR THE CONNECTION OF
CUSTOMER EQUIPMENT TO 1.544 MBPS AND/OR
For the work to be performed in the certified territory of
Telco's name:
State of:
Country of:
I,
(Name of Authorized Representative)
(Customer's Address)
being duly sworn, state:
I have responsibility for the operation and maintenance of the
terminal equipment to be connected to
and/or
equipment to be connected complies with Part 68 of the Commission's
rules except for the encoded analog content and billing protection
specifications. With respect to encoded analog content and billing
protection:
I attest that all operations associated with the establishment,
maintenance and adjustment of the digital CPE with respect to
encoded analog content and encoded billing information
continuously complies with Part 68 of the FCC's Rules and
Regulations.
The digital CPE does not transmit digital signals containing
encoded analog or billing information which is intended to be
decoded within the telecommunications network.
The encoded analog and billing protection is factory set and is
not under the control of the customer.
SUBRATE DIGITAL SERVICES
, of
Subrate digital services. The terminal
(Customer Name)
,
(Telephone Number)
FCC PART 68
1.544 Mbps
Page C-3

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