I acknowledge receipt of the following pager for use in conducting business for the Texas Forest Service and the citizens of the State of Texas, and I further understand the use of the pager is limited to official business.  I understand and agree that until the pager has been returned by me to the issuing office, I am responsible at all times for the equipment and all expenses incurred by use of this equipment. 

Print name of employee                                                                                      Office

Signature of employee                                                                                        Date

Signature of Telecommunications Coordinator                       Date

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Return of Pager

I am returning the pager described above.

Signature of employee                                                Date

Signature of Telecommunications Coordinator                       Date

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