Form EIA-457D 2020 RECS Propane Usage

EIA-457D OMB 1905-0092 Exp. 7/31/20XX

2020 RECS Propane (Bottled Gas or LPG) Usage Form

Delivery address: 123 Main St. Apt. 1 Anytown, US 98765

Account number:

Please provide information on propane usage for this delivery address between April 2019 and March 2021.

If you have no data for this delivery address, please submit this form without filling in any data and leave a comment explaining the situation.

Delivery number	Enter the delivery date for each delivery MM/DD/YY	Type of fuel sold was: P = Propane B = Butane O = Other (circle one)	Select the unit of measure Pounds Cubic meters Gallons Decitherms Cubic feet Other (specify): Enter the amount delivered XXXX	Enter the price per gallon $X.XX	Enter the total dollar amount including taxes [Exclude late feeds, merchandise, repairs, and service charges] $XXX.XX
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