Form 54-100 - Texas 9-1-1 Emergency Service Fee Report Page 3

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b.
54-101
(Rev.2-10/2)
Texas 9-1-1 Emergency Service Fee Report
Local Exchange District Supplement
Instructions on back.
92100
a. T Code
Do not write in shaded areas.
e.
c. Taxpayer number
d. Filing period
f. Taxpayer name
NUMBER OF
FEE
1%
NET
g.
1.
2.
3.
4.
COG
ACCESS
AMOUNT
ADMINISTRATIVE
AMOUNT
DISTRICT
NUMBER
LINES
COLLECTED
FEE
DUE
1310010
1.
Alamo COG
1920024
Ark-Tex Area COG
2.
2910032
Brazos Valley COG
3.
3170040
4.
Capital Area PC
3550050
5.
Central Texas COG
3610060
6.
Coastal Bend COG
3650074
Concho Valley COG
7.
4550083
Deep East Texas COG
8.
5110093
9.
East Texas COG
7630106
10.
Golden Crescent RPC
8510117
11.
Heart of Texas COG
8630121
Houston-Galveston COG
12.
Lower Rio Grande Valley COG 3650132
13.
4940144
Middle Rio Grande COG
14.
5690151
15.
Nortex RPC
5690169
16.
North Central Texas COG
7150170
17.
Panhandle RPC
7590185
Permian Basin RPC
18.
9960196
Rio Grande COG
19.
1630201
20.
South East Texas RPC
1630219
21.
South Plains AG
1630227
22.
South Texas DC
2560233
Texoma COG
23.
5500244
West Central Texas COG
24.
5.
6.
7.
8.
TOTALS
1
c/ c

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