General DataComm 551 Operating And Installation Instructions page 7

AFFIDAVIT FOR THE CONNECTION OF CUSTOMER PREMISES
TO 1.544 Mbps AND/OR SUBRATE DIGITAL SERVICES
For work to be performed in the certified territory of
(Telco's Name)
State of:
County of:
I, ,
(Name) Business Address
representing ,
(Name of Customer)
being duly sworn, state:
(Telephone Number)
I have the responsibility for the operation and maintenance of the terminal equipment to be
connected to 1.544 Mbps and/or
services. The terminal 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
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adjustment of the digital CPE with respect to encoded analog content and encoded
billing information continuously complies with Part 68 of FCC's Rules and
Regulations.
The digital CPE does not transmit digital signals containing encoded analog
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content 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
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control of the customer.
EQUIPMENT
subrate digital