472215_10_000031986_5-23-2012_8-40-21_PM.pdf

Certification of Officer as to the Accuracy of the CAF ICC Data Reported
I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the actual data reported; and, to the
best of my knowledge, the information reported on this form is accurate.
Name of Reporting Carrier:
Signature of Authorized Officer:
Printed name of Authorized Officer:
Title or position of Authorized Officer:
Telephone number of Authorized Officer:
Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C.
§§ 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C. § 1001.
Study Area Code of Reporting Carrier Filing Due Date for this form
(mm/dd/yyyy)
Date:
472215 6/18/2012
CAMBRIDGE TEL CO
Kristie Kanady
Billing Manager
208-257-3314
5/23/2012
Kristie Kanady
TO BE COMPLETED BY THE REPORTING CARRIER.
Digitally signed by Kristie Kanady DN:cn=Kristie
Kanady,email=[e-mail],O=cambridge tel
co,l=Cambridge ID 83610, Date:5/23/2012