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EIA-457D OMB 1905-0092 Exp. 07/31/2027 Burden: 10 minutes |
2024 RECS Propane (Bottled Gas or LPG) Usage Form
Service address: 123 Main St. Apt. 1 Anytown, US 98765 |
Account number: |
Please provide information on propane delivered to this service address for the 20-month period from September 2023 through 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.
Delivery number |
Enter the date of each delivery MM/DD/YYYY |
Select the type of fuel delivered:
P = Propane B = Butane O = Other (circle one) |
Select the unit of measure
Enter the amount delivered X,XXX |
Enter the total dollar amount including taxes (Exclude charges for merchandise, repairs, service calls, or late fees) $X,XXX.XX
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1 |
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P B O |
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2 |
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P B O |
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3 |
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P B O |
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4 |
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P B O |
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5 |
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P B O |
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6 |
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P B O |
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7 |
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P B O |
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8 |
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P B O |
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9 |
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P B O |
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10 |
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P B O |
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11 |
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P B O |
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12 |
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P B O |
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13 |
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P B O |
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14 |
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P B O |
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15 |
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P B O |
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16 |
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P B O |
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17 |
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P B O |
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18 |
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P B O |
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19 |
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P B O |
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20 |
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P B O |
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If the type of fuel sold above was O = Other, enter the specific type of fuel here. If a mixture of fuels was sold, enter the types of fuel and proportion of each:
If necessary, please include any relevant information for this address, such as an explanation for any periods of vacancy or gaps in billing for this service address.
Comments:
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Mayclin, Danielle |
File Modified | 0000-00-00 |
File Created | 2025-07-26 |