Cable Television Annual Employment Report 2000 Page 12
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12SECTION VIII CERTIFICATION
This report must be certified as follows:
A.
By the individual owning the reporting system if individually owned;
B.
By a partner, if a partnership; or
C.
By an officer, if a corporation or association.
I certify that to the best of my knowledge, information and belief, all statements contained in this report are true and correct.
Signed
Title
Date
Name of Respondent
Telephone No. (include area code)
WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND/OR IMPRISONMENT
(U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE (U.S. CODE,
TITLE 47, SECTION 312(a)(1), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).
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