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Page 5 · column 2 of 3 · from the scan, no model involved
Electric.
Water
Heater
INSULATION
JACKET
REBATE
Complete and tend this form to: Residential Activities, Potomac Edison, Downsville Pike, Hagerstown, MD 21740. You mm tiutility as of tho fotieurim 1 pnreheeed and installed an insulation jacket on my electo wwi»i your rebate: trie water heater in my home. (Print or type! 1. Original cam ragiatar receipt dated between March and May 31. 1904. Hmn* ___ 2. Brand name of ineuletion Jacket cut from box or package wrapper. Addran_ 3. Dealer'! signature. This offer it limited to Potomac Edison residential customers and must be postmarked no later than May 31, 19B4. City State .zip. PE Account Number Only out rtbtti pgf hou—hold
54.6%