Annual Payphone Location Report Form - Department Of Public Utility Control

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94-07-05RE02
ANNUAL PAYPHONE LOCATION REPORT
CUSTOMER OWNED COIN OPERATED TELEPHONES (COCOTS) and
PAY TELEPHONE SERVICE PROVIDERS
July 31, 20_____
To:
Executive Secretary
Department of Public utility Control
Ten Franklin Square
New Britain, Connecticut 06051
Re:
Annual Pay Phone Location Report - Docket No. 94-07-05RE02
As of this date, I/We own the following COCOTS located in the State of
Connecticut.
Area
Telephone
Business
Location
Local Exchange
Long
Distance
Code
Number
Name
Address
Company
Carrier
(Please continue listing on attachment, if necessary)
Signature Owner or Officer:
______________________________
Printed Name and Title
______________________________
Company Name or D.B.A.
______________________________
Address:
_________________________________________
_________________________________________
Telephone Number: ___-______

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