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Refund/Discount Option Selection <br />Applicant, in accordance with PG&E's extension rules, must select one of the following options. Please <br />check the boxes for the option and commodities selected (gas and/or electric). Once the selection has <br />been made, it cannot be changed. Please confirm that selection by initialing the adjacent line. <br />^ 10-year Refund Option <br />^ Gas ^ Electric Applicant's Initials <br />-or- <br />^ Non-Refundable 50% Discount Option <br />^ Gas [[1~ Electric <br />ACCEPTED: <br />Applicant: <br />BY: <br />of Pleasanton. An I <br />Applicant's Initials <br />Mun <br />(Authorized Signature) <br />(Type or Print Name) <br />TITLE: C~%~'~fl/J lias~"~G~ <br />MAILING ADDRESS: 200 Old Bernal Rd. <br />Pleasanton, Ca. 94566 <br />PACIFIC GAS AND ELECTRIC CO. <br />BY: <br />( uthorized Signature) <br />Jack Deschaine <br />(Type or Print Name) <br />TITLE: Service Planning Supervisor <br />DIVISION: Mission I Tri -Valley <br />Execution Date: l_ /lo ~ o2G1~/ <br />Form 62-0980 <br />Tariffs and Compliance <br />Advice No. 2081-G/1765-E <br />Decision no. 97-12-098,97-12-099 <br />Effective Date: July 1, 1998 <br />