HomeMy WebLinkAboutAT&T Wireless Agreement for Authorization for Release of Telephone Number -2008 12 101L/UJ/~UUtf 1.L: G'J tSl t1EtJ.SOUtl1
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AT &T
Authorization for Release of Telephone Number
I hereby release my telephone number(s): 407 327-2332, 327-4750, & 327-7592 listed as
City of Winter Springs located at 850 NORTHERN WAY, 300 N Moss Rd, 102 N Moss Rd
to Seminole County and thereby relinquish all claim to this number.
Billing name of former subscriber: City of winter springs
Legal name of former subscriber: City of winter Springs
Printed name of former subscriber: City of Winter springs
..-----~
Signature of former subscriber: ~,r ~~d'G/ '~ll~-=---~-~" Date: 12 / 10 / 08
Sworn to and subscribed before m, e,,, tnhis I2~ day of~?~~± ZOU (Year).
Notary Public signature: t./~.f'G~.-h,(.Q~i~~~'~-~
Printed name:
My commission expires:
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:° ~ ~'~ Danielle Harker
*NOTE: This form becomes void if altered in any way.
Fax to:
Then mail original to
Leila Dye
(404} 829-01 18
AT&T Regional Markets
Attn: Leila Dye
GEM
575 Morosgo Dr
7e52
Atlanta, GA 30324
04115/201 ~