Block · one region of the page, as the scanner read it. It may hold a whole story, part of one, several, or an advertisement; stitching blocks into articles is the next step. Text is supplied OCR.
Page 15 · column 2 of 3 · from the scan, no model involved
THIRD PARTY DESIGNATION Customer’s Name (Please print) _ Account Number as Shown on Bill _ For Service at (Address as shown on bill)_
I request that any notice of disconnection of my electric service for nonpayment of bill also be mailed to the person or agency listed below. Third Party’s Name (Print) _ Mailing Address ______Telephone
Number_ ’ Third Party Signature _Date_ While we will make every effort to send a copy of a termination notice to the third party specified, the customer making such a request agrees that Potomac Edison will incur no liability for failure to provide the requested
notification. Customer's Signature_
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