Gross Receipts For The Twelve (12) Months Ending June 30, 2011 Form - South Carolina Public Service Commission

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SOUTH CAROLINA PUBLIC SERVICE COMMISSION
GROSS RECEIPTS FOR THE TWELVE (12) MONTHS ENDING JUNE 30, 2001
Company Name
FEIN
Address
Telephone #
City
State, Zip
Officers of Company:
President
Secretary
Treasurer
Regulatory Contact___________________________Telephone #_____________________
STATEMENT OF EARNINGS
Total Intrastate Regulated Gross Receipts in South Carolina
Twelve (12) months ending June 30, 2001.
$
State of
County of
Personally appeared before me
who, being duly sworn, says that he/she is the
of the
Company and that the foregoing statement for the year ending June 30,
2001 is correctly taken from the books and records of said Company, and is true to the best of his/her
knowledge and belief.
Sworn to before me this
day of
,2001
(L.S.)
Notary Public
Return Deadline is August 31, 2001
Return Address:
Public Service Commission of South Carolina
Accounting Department
P. O. Drawer 11649
Columbia, SC 29211

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