Letter of Authorization
Date: ____________________
Customer Name: _______________________________________________________________
Customer Address: ______________________________________________________________
City/State/Zip: _________________________________________________________________
Customer Telephone number: _____________________________________________________
Current Electric Provider: ________________________________________________________
I
____________________________, as the authorized representative for the above
named customer, authorized the release of the following billing information
for the following accounts this request should include billing record with
surcharges and taxed for the most recent 12 months; energy usage data, to
include kWh, kva, interval data, load factor and power factor as applicable to
this account.
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ESI
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ACCOUNT NUMBER |
ADDRESS |
TDSP |
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I hereby request that the information be released to:
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Name:
Madeline Burleson
Company: Texas CommercialEnergy
Address: 1022 S. Greenville
Avenue Allen,
TX 75002___ Phone Number: 214-547-2550
Fax
Number: 214-853-4874 Email Address: madeline.burleson@mytce.com |
Signature Block
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Authorized Name: ___________________________________________ Date: _____________ Tax ID Number: ____________________________________________ Authorized Signature: ________________________________________ Title: _____________________________________________________
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