Trs Funding Sheet Rate - Oklahoma Telephone Association - 2007 Page 2

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Oklahoma Telephone Association
Rate Effective October 1, 2013
Company Name: _________________________
Address:
_________________________
_________________________
Reporting Month: _______________________
Exchange
Access Lines
Amount Collected
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
__________
__________ X .05
__________
Total
__________
Please make check payable to “OTA/TRS Fund”
Remit to:
Oklahoma Telephone Association
3800 N. Classen Blvd, Suite 215
Oklahoma City, Oklahoma 73118
Signed: __________________________
Phone# : _______________
Print Name: ______________________

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