61200375L1-1 TA 850

T1 RCU VoATM UIG/61200376L2-31A Page 10 of 72

I agree to provide ______________________ (telco’s name) with proper documentation to

demonstrate compliance with the information as provided in the preceding paragraph, if so requested.

_________________________________Signature

_________________________________Title

_________________________________ Date

Transcribed and sworn to before me

This ________ day of _______________, 2000

_________________________________

Notary Public

My commission expires:

_________________________________

TA 850 User Manual

© 2001, ADTRAN, Inc.

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ADTRAN user manual 61200375L1-1 TA T1 RCU VoATM UIG/61200376L2-31A Page 10