Form Boe-517-Ff - Schedule Of Franchise Fee Payments - 2013

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BOE-517-FF (FRONT) REV. 5 (12-12)
STATE OF CALIFORNIA
SCHEDULE OF FRANCHISE FEE PAYMENTS
BOARD OF EQUALIZATION
2013
Please read instructions on reverse before preparing this schedule.
COMPANY NAME
SBE NO.
A
B
C
D
E
F
COUNTY NUMBER
COUNTY NAME
CALENDAR YEAR 2012
CONTRACT
CONTRACT
FRANCHISE NAME
CABLE AND VIDEO SERVICE-
COMMENCEMENT
TERMINATION
FRANCHISE FEE PAYMENTS
DATE
DATE
CLEAR
PRINT

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