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Retirement of Service or Security Light

If you would like to request your electric line, poles, and/or security light taken completely down (retired) please complete the information below:

Date:

Name on account:

Account Number:

Meter Number:

Billing Address:

Actual address of service:

Phone number (HOME):

Phone number (WORK):

Cell Phone number:

Type of job:

New House

Mobile

Dairy

Barn

Garage

Outdoor Light

Other

Remarks: