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pdfEIA-457F
OMB 1905-0092
Exp. X/XX/202X
Burden: 10 minutes
2024 RECS Natural Gas Usage Form
Service address:
123 Main St.
Apt. 1
Anytown, US 98765
Account number:
Please provide information on natural gas usage for this service address between September 2023 and April 2025.
If you have no data for this service address, please submit this form without filling in any data and leave a comment
explaining the situation.
Select the unit of measure
Billing
period
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Comments:
Enter the
end date for
each billing
period
MM/DD/YY
o
o
o
o
o
Therms
Cubic Feet (CF)
Hundreds of CF (CCF)
Thousands of CF (MCF)
Other (specify):
Enter the amount used
XXXX
Enter the total
dollar amount
including taxes
[Exclude late fees,
merchandise,
repairs, and service
charges]
$XXX.XX
Natural gas was:
B = Both Sold and
Delivered
S = Sold Only
D = Delivered Only
(circle one)
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
D
File Type | application/pdf |
Author | Mayclin, Danielle |
File Modified | 2023-12-05 |
File Created | 2023-12-05 |