Form EIA-457F 2020 RECS Natural Gas Usage

EIA-457F OMB 1905-0092 Exp. 7/31/20XX

2020 RECS Natural Gas Usage Form

Delivery address: 123 Main St. Apt. 1 Anytown, US 98765

Account number:

Please provide information on propane usage for this delivery address between April 2019 and March 2021.

If you have no data for this delivery address, please submit this form without filling in any data and leave a comment explaining the situation.

Billing period	Enter the delivery date for billing period MM/DD/YY	Select the unit of measure Therms Cubic Feet Hundreds of CF (CCF) Thousands of CF (MCF) Other (specify): Enter the amount used this period XXXX	Enter the total dollar amount including taxes [Exclude late feeds, merchandise, repairs, and service charges] $XXX.XX	Electricity was: B = Both Sold and Delivered S = Sold Only D = Delivered Only (circle one)
1				B S D
2				B S D
3				B S D
4				B S D
5				B S D
6				B S D
7				B S D
8				B S D
9				B S D
10				B S D
11				B S D
12				B S D
13				B S D
14				B S D
15				B S D
16				B S D
17				B S D
18				B S D
19				B S D
20				B S D
21				B S D
22				B S D
23				B S D
24				B S D