Application Form For Parties Wishing To Offer, Render, Furnish, Or Supply Electricity Or Electric Generation Services To The Public In The Commonwealth Of Pennsylvania Page 21
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31Appendix C
Example
CERTIFICATE OF SERVICE
On this the _____ day of ___________ 20__, I certify that a true and correct copy of the
foregoing application form for licensing within the Commonwealth of Pennsylvania as an Electric
Generation Supplier and all attachments have been served upon the following:
Office of Consumer Advocate
Office of the Attorney General
5th Floor, Forum Place
Bureau of Consumer Protection
555 Walnut Street
Strawberry Square, 14th Floor
Harrisburg, PA 17120
Harrisburg, PA 17120
Small Business Advocate
Commonwealth of Pennsylvania
Commerce Building, Suite 1102
Department of Revenue
300 North Second Street
Bureau of Compliance
Harrisburg, PA 17101
Harrisburg, PA 17128-0946
Legal Department
Manager Energy Acquisition
West Penn Power d/b/a Allegheny Power
PECO Energy Company
800 Cabin Hill Drive
2301 Market Street
Greensburg, PA 15601-1689
Philadelphia, PA 19101-8699
Regulatory Affairs
Legal Department
Duquesne Light Company
Attn: Paul Russell
411 Seventh Street, MD 16-4
PPL
Pittsburgh, PA 15219
Two North Ninth Street
Allentown, PA 18108-1179
Legal Department
UGI Utilities, Inc.
First Energy
Attn: Rates Dept. – Choice Coordinator
2800 Pottsville Pike
2525 N. 12th Street, Suite 360
Reading PA, 19612
Post Office Box 12677
Reading, Pa 19612-2677
Citizens' Electric Company
Attn: EGS Coordination
Director of Customer Energy Services
1775 Industrial Boulevard
Orange and Rockland Company
Lewisburg, PA 17837
390 West Route 59
Spring Valley, NY 10977-5300
Wellsboro Electric Company
Attn: EGS Coordination
33 Austin Street
P. O. Box 138
Wellsboro, PA 16901
______________________________
John Doe, President ABC Corp.
18
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