Annual Report Of Competitive Telecommunications Carriers To The Oklahoma Corporation Commission Form - 2004 Page 11

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S
6. V
O
CHEDULE
ERIFICATION AND
ATH
Verification
The foregoing report must be verified by the President or Chief Executive Officer of
the company. The oath required may be taken before any person authorized to
administer an oath by the laws of the State in which the same is taken.
Oath
_______________________________________ makes oath and says that he/she is
(Print the name of the affiant here.)
____________________________________________________________________
(Print the official title of the affiant here.)
of __________________________________________________________________
(Print the exact legal title or name of the respondent here.)
that he/she has examined the foregoing report; that to the best of his/her knowledge,
information, and belief, all statements of fact contained in the said report are true and
the said report is a correct statement of the business and affairs of the above-named
respondent in respect to each and every matter set forth therein during the period
from and including _______________, to and including ______________.
____________________________________________________
(Signature of Affiant)
State of
County of
___________________,
_____________________
Subscribed and sworn before me on
_______________, ______
__________________________________________________________
Notary Public (or Clerk or Judge)
My Commission expires on
________________________, _______
Revised: June 2004
Page 11 of 11

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