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<br />EXHIB IT 12 <br /> <br />TRAVIS CO/CITY MSAG CHANGE <br /> <br />CAPCO FO&"t 911 <br /> <br />Request: <br /> <br />Insert <br /> <br />Change <br /> <br />Delete <br /> <br />Telephone Number: <br /> <br />Date: <br /> <br />Existing Street: <br /> <br />Dir <br /> <br />Street Name <br /> <br />Suffix <br /> <br />New Street: <br /> <br />Dir <br /> <br />Street Name <br /> <br />Suffix <br /> <br />Serving Telephone Company: <br />(Complete one MSAG change form for each telephone company) <br /> <br />Exchange: <br /> <br />Requested by: <br /> <br />Existing Community: <br /> <br />Zip Code: <br /> <br />New Community: <br /> <br />Zip Code: <br /> <br /> Low Number Hi~h Number QLELB ~ ICUOCL <br />Existinz Ranze: 11) <br /> (2) <br /> (3) <br /> (4) <br /> (5) <br />New Ran~e: ill <br /> ill <br /> Ql - <br /> ill <br /> (5) <br /> <br />City/PSAP Remarks: <br /> <br />TELCO Remarks: <br /> <br />Do not write below this line. Telco use only <br /> <br />=CapitaJ Area Planning Council <br /> <br />TELCO: <br /> <br />2512 tH. 35 South, Suite 204 <br />Austin, Texas 78704 <br />(512) 916-6014 FAX (512) 442-3911 <br /> <br />CAPCO Initials: <br /> <br />Date Received: <br />PREMIS: <br />Date Received: <br />9-1-1 Operations Group: <br />Date Entered: <br /> <br />1 n itia Is:. <br /> <br />Initials: <br /> <br />Mail this form directly to CAPCO OR FAX (512) 442-3911 <br />