EIA-857 Monthly Report of Natural Gas Purchases and Deliveries t

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OMB No. 1905-0175
Expiration Date: 06/30/2024
Version No.: 2021.01
Burden: 3.5 hours
MONTHLY REPORT OF NATURAL GAS PURCHASES AND DELIVERIES TO CONSUMERS
FORM EIA-857
This report is mandatory under the Federal Energy Administration Act of 1974 (Public Law 93-275). Failure to comply may result in criminal fines, civil penalties and other sanctions as
provided by law. For the sanctions and the provisions concerning the confidentiality of information submitted on this form, see instructions. Title 18 USC 1001 makes it a criminal offense
for any person knowingly and willingly to make to any Agency or Department of the United States any false, fictitious, or fraudulent statements as to any matter within its
jurisdiction.

PART 1. RESPONDENT IDENTIFICATION DATA
REPORT PERIOD:

Month:

EIA ID NUMBER:

8 5 7

Year:

2 0

If this is a resubmission, enter an "X" in the box:
Does any information provided in lines 1-13 include prior period adjustments (billing and/or accounting adjustments)?
Yes
No
If so, please detail the amount of the adjustment and applicable line(s) in the comments.
If any Respondent Identification Data has changed since the last report,
enter an "X" in the box:

Completed form(s) must be filed no later than 30 calendar days following
the end of the report period.

Company Name:
Contact Name:
Phone No.:

Form may be submitted using Secure File Transfer:
https://signon.eia.doe.gov/upload/noticeoog.jsp

Ext:

Questions?
Please contact the EIA Survey Support Team using the following
communication methods:

Fax No.:
Address 1:
Address 2:
City:

PART 2. SUBMISSION INFORMATION

State:

Zip:

-

By email:
By phone:

[email protected]
1-855-EIA-4USA (1-855-342-4872)

[Monday through Friday, 8:00 a.m. to 6:00 p.m. eastern time]

Email address:

PART 3. NATURAL GAS PURCHASES AND DELIVERIES TO CONSUMERS BASED ON CALENDAR MONTH RECORDS
Volume
(Mcf @ 14.73 psia-60oF)
Purchased gas received in distribution service area (Citygate). Include
volumes withdrawn from storage for delivery in report month and exclude
volumes purchased and stored for delivery in the future. Report all costs
including commodity, transportation, and storage costs. See instructions
for full explanation...............................................................................
1.0
Total operational sendout to end-use consumers (including company and
distribution use) of gas owned and not owned …………………………
Gas used in operations, including space heat, pipeline distribution or
storage compressor use, and line loss…………………………….......……

Cost
(Including taxes)

2.0
2.1

PART 4. NATURAL GAS DELIVERIES TO CONSUMERS BASED ON FINANCIAL RECORDS
Number of
Deliveries of natural gas that you do own to consumers within the
Customers
report state
3.0
Residential ………………………………………………………….
4.0
Commercial (excluding company use and vehicle fuel) ………....…..
4.1
………………………………………………………
Vehicle Fuel
5.0
………………………………………………………….
Industrial
Electric Power ………………………………………………………
6.0
Other (not included in above categories)
7.0

Volume
(Mcf @ 14.73 psia-60oF)

Revenue
(Including taxes)

Volume
o
(Mcf @ 14.73 psia-60 F)

Revenue
(Including taxes)

(specify type)

Number of
Customers

Deliveries of natural gas that you do not own to consumers within the
report state
Residential ………………………………………………………….
Commercial (excluding vehicle fuel) …………………………………
Vehicle Fuel ………………………………………………………..
………………………………………………………….
Industrial
Electric Power ………………………………………………………
Other (not included in above categories)

8.0
9.0
9.1
10.0
11.0
12.0

(specify type)

Total of all deliveries (Lines 3.0 through 12.0)

……………………………

Heat content of gas delivered to consumers (Btu/cubic ft.):

13.0
14.0

Comments: Identify any unusual aspects of your reporting month's activity. (To separate one comment from another, press ALT + ENTER.)

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