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<br /> fozF <br />\4. Comp\ete the following proposed entries in books of purchasing (or surviving) eümpany to <br /> record purchase (or _r¡er): <br /> Utility plant in service <br /> <br /> Plant acquisition adjustment <br /> <br /> Extraordinary loss on purchase <br /> <br /> Accumulated depreciation plant <br /> <br /> Cash <br /> Notes payable <br /> <br /> Mortgage payable <br /> <br /> Other list <br /> (Additional entries may be made -- the above are suggested only and are not intended <br /> to pose descriptive limitations.) <br />As the purchaser, I understand that it is my responsibility in any future rate proceeding to provide <br />written evidence and support for the original cost and installation date of all facilities used and useful <br />for providing utility service. ( Purchaser's Initials) . <br /> <br />PLEASE ANSWER QUESTIONS 15 THROUGH 21 FOR EACH PHYSICALLY DISTINCT <br />SYSTEM WHICH IS BEING TRANSFERRED OR ACQUIRED BY THE APPLICANT <br />(pLEASE ATTACH ADDmONAL PAGES AS NECESSARY.) <br />15. Please provide the following: <br /> , <br /> A. For Water Systems TDH ill No(s). 1050001 <br /> <br /> B. For Wastewater Systems <br /> 1. lWC Permit Number <br /> 2. Name of Pennittee <br /> 3. Date of Application to Transfer Pennit <br /> <br /> 4. Date Permit Transfer Approved by TWC <br /> <br />STM.APP Page 6 of 10 <br />REV. 10/91 <br />