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This form may be computerized by the submittingmoperator if it will aid in submission of the information or continuation pages may be added if more space is oneeded. All information submitted will be kept strictly confidential and will be used only for verification ofhPERC assessments submitted by producers, marketers and others responsible for payment of the assessmentsorequired by the Propane Education and Research Act. This report is for the month of _________________, ______.This is page 1 of ______ pages.NameCityStateCompany for WhomGallons(odorization point)Odorization ProvidedOdorized#Total Amount Reported On This Page:8Total Amount Carried Forward From_______ Attached Pages Total Amount Reported:`I hereby certify that the information contained in this Odorization Report is true and accurate.3Signature of Corporate Officer or Authorized PersonDatePrint Name and Title$Propane Education & Research Council PO Box 826112Philadelphia, PA 19182-6112PERC ID#1Mail or E-Mail Form By The 25th Of Each Month To:mElectronic Format may be submitted via Microsoft Excel, Access or Text File. You may e-mail electronic forms City: State: _____ Zip: ______Phone # / E-mail:bThis is page_______of ______pages submitted by _________________________________________ (Company)Wfor the month of ___________________, ______. Please sign certification on first page./4Name of Storage Cavern, Terminal, Loading Rack, etc.(Odorization Point)Total This page:State:kto remittance@propane.com. If you should have any questions please feel free to call us at (202) 464-9023./Or e-mail your report to remittance@propane.com20 345+568ccFB ZO A]=ch  dMbP?_*+%sp&C&"Arial,Bold"&16Confidential Propane Education and Research Council Odorization Report For Terminal Operators &?'?(?)?M HP LaserJet 500 color M551| C odXXLetter,DINU"8 "P8 SMTJ( IUPH"xM/AH8o!]TXmӢ=r|D>OgFj:att'i2]NjZ!Olȱ?CS,\?;r댺ϣS,!+p[)ũƵ5Rۡ>F7\9lv?uɯ]I@1A}b$aRoa =( :~?UsioR>S[GvPwtG}3qV刴PG)OEݾ!jYE^]=s<m꽧)wKҐ9ubj@oi6V(Asa^\]!s(3l4 MQ%+Kebk1j9S>/%:lߜ=g#]+Ǚ[v৉zSw)<:"CXX??&U} } $ } } $ } } }  } } } I A      h    h    h   h h h h h                  ![ ,[ >\\\\]???  [@@@ > ????^???  [@@@ > ????^???  [@@@ >" ?? ># >$ g+g A ?>@@>>[ >%????^>@@@A@A@@ >@@@A@A@@         l mmmmn B B r n  Coppppq DE s t  FG@@@@HIIJHK  L????MNNOMP <j(((h"dT ! 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