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This form is effective beginning with the January 1 to June 30, 2017 accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.STATEMENT OF ACCOUNTFOR COPYRIGHT OFFICE USE ONLYfor Secondary Transmissions by Cable Systems (Short Form)08/07/2024General instructions are located in the first tab of this workbookAAMOUNTDATE RECEIVED$ ALLOCATION NUMBERACCOUNTING PERIOD COVERED BY THIS STATEMENT: (YYYY/(Period))Period
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