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Please return completed form to PipelineDamageCase urc.in.gov Or mail to Indiana Utility Regulatory Commission Pipeline Safety Division - Case Number 101 West Washington Street 1500E Indianapolis IN 46204 Or fax to 317-233-2410. Submit by Email INFORMATION REQUEST State Form 54909 R / 3-13 INDIANA UTILITY REGULATORY COMMISSION PIPELINE SAFETY DIVISION Case Number Date of Damage month day year Location of Damage Address number and street City State and ZIP Code Nearest Intersection Excavator...
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