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I understand that my metered charges may increase in the future due to the installation of a new meter. I understand that my election of metered billing is irrevocable for a period of two years. I also flat-rate basis until such time as the property is deemed ineligible for flat-rate billing. Print Name Signature Date Notary June 2013 Ver. 3. 00. 0 Please return this form to NYC Department of Environmental Protection Bureau of Customer Services/.

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