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Get CA PG&E 61-0502 2002

O. 61-0502 Medical Baseline Allowance Self-Certification Please Refer to Attached Sample Form Advice Letter No: Decision No. 1C1 2254-E 02-04-026 Issued by Karen A. Tomcala Vice President Regulatory Relations Date Filed Effective Resolution No. July 12, 2002 August 21, 2002 MEDICAL BASELINE ALLOWANCE Self-Certification TO BE COMPLETED BY CUSTOMER (please print) PG&E Customer Account No: Customer Name (as it appears on your bill): Medical Baseline Resident’s Name (if different): Service.

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