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Pennsylvania Public Utility Commission Bureau of Administration PO Box 3265 Harrisburg, PA 171053265 For questions call: 7177836806 UNCONVENTIONAL GAS WELL FUND USAGE REPORT Calendar Year Reporting:

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The name of the municipality fox is required to be provided on official documents and records.

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The municipality officials or representatives are required to file the name of municipality fox.

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The name of municipality fox can be filled out on forms provided by the governing body or municipality office.

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