Gpsc Form 900-1 - Application For Certificate Of Authority To Provide Competitive Local Exchange Service Page 12

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AFFIDAVIT
The Applicant agrees to provide local telecommunication services in conformance with the existing exchange boundary
maps of the incumbent Local Exchange Companies as approved by the Public Service Commission.
INCUMBENT LOCAL EXCHANGE COMPANY(IES) ________________________________________
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EXCHANGE(S):
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(COMPANY)
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(SIGNATURE)
SUBSCRIBED AND SWORN BEFORE ME THIS ________
DAY OF _________________, 20________.
(SEAL)
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(NOTARY PUBLIC)
GPSC FORM 900-1
Electronic Version
12

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