Form St-5m Addendum - Addendum For Metered Energy Sold To A Manufacturer

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ST-5M Addendum
(Rev. 11/2012)
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STATE OF GEORGIA
DEPARTMENT OF REVENUE
ADDENDUM FOR METERED ENERGY SOLD TO A MANUFACTURER
Attach a properly completed ST-5M Certificate of Exemption
Energy Supplier
Eligible Service Address
Account Number

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