KWH-2A
Rev. 2/04
P.O. Box 530hColumbus, OH 43216-0530
Telephone: (614) 466-7026hFax: (614) 752-8644
Electric Distribution Company
Schedule of Self-Assessing Purchasers
Account Number ______________________________ Period ____________________________________________
Name __________________________________________________________________________________________
Number of KWHs
Account Number
Name
Distributed