NEW YORK STATE
DEPARTMENT OF PUBLIC SERVICE
STATEMENT OF GROSS INTRASTATE OPERATING REVENUES
UTILITY NAME and ADDRESS
I hereby certify that the amount shown below are the NEW YORK STATE gross
Intrastate operating revenues of this utility for the period reported.
Calendar Year 2007
$
_________________________________
_________________________________
Signature
___________________________________
Notary Public
___________________________________
Title
___________________________________
Date
___________________________________
Federal ID Number
MARCH 31, 2008
Please return this form by
to:
NYS Dept. of Public Service
Att: Sorelle L. Brauth, Director of Finance & Budget
th
Three Empire State Plaza – 16
Floor
Albany, New York 12223-1350
Failure to comply with this request could result in penalties as outlined in Section 95 of
the Public Service Law.