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Check one: <br />❑ 1 request that PG&E bill me directly for its services at my current billing address(es). PG&E may provide <br />CTA with an information -only statement of my PG&E charges. <br />Dd 1 request that PG&E send my PG&E bill to CTA for payment, subject to approval by PG&E. If PG&E <br />approves the CTA for this billing option, I will receive an information -only statement of my PG&E charges, <br />sent by PG&E to my current billing address(es). <br />PG&E must receive one completed and signed original of Authorization. Facsimiles or photocopies must be <br />accompanied by an original. <br />COMMUNICATIONS <br />PG&E will use the following addresses to send formal notices, tariffs, PG&E service information and executed <br />agreements to Parties. This will not change the current billing address on PG&E accounts. <br />To Customer: <br />To CTA: <br />City of San Lear ±-o Association of Bay Area Gov'ts <br />(Customer Company Name) (CTA Company Name) <br />Mail* Add ess Mailing Address: <br />�s t 3201 Danville Blvd Suite 275 <br />San Learjhro, CA 94577 Alamo CA 94507 <br />Service Address: <br />Attention: City Mara-gPr <br />Tele hone Num. <br />r 51� � 577 <br />Telecopy Number: <br />( 510 ) 577 3340 <br />Service Address: <br />3201 Danville Blvd Suite 275 <br />Alamo CA 94507 <br />Attention: <br />ABAG Coordinator <br />Telephone Number: <br />( 510 ) 743-7877 <br />Telecopy Number: <br />( 510 ) 743-1014 <br />To PG&E: <br />Pacific Gas & Electric Company <br />Mailing Address: <br />P.O. Box 770000 <br />Mail Code H28H <br />San Francisco CA 94177 <br />Service Address: <br />123 Mission Street <br />Mail Code H28H <br />San Francisco CA 94105 <br />Attention: <br />Core Transport Program Admin. <br />Telephone Number: <br />(415) 973-3059 <br />Telecopy Number: <br />(415) 973-2384 <br />(Please Type or Print Clearly) <br />Signe14'of <br />Accepted by: <br />duly authorized representative) (Signature of duly authorized representative) <br />For: City of San Leandm, <br />Cu tomer,Company Name) <br />John . ie rs= <br />(Print Name) <br />City MarBppr <br />9/15/97 (Title) <br />(Date) <br />For: Association of Bay Area Governments <br />(CTA Company Name) <br />Eu9ene Y. Leong <br />(Print Name) <br />Executive Director <br />(Title) <br />(Date) <br />Form No. 79-845-Attachment A <br />Pricing & Regulatory Support <br />August 18, 1995 <br />Page 2 <br />