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Submit a separate Item 3 for each surveyed product which the reporting firm received from refiners subsidiaries or affiliates of refiners. or any other source between January 1972 and December 1974

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4

(PART I, Section B. Continued)

Fill out a separate Item 4 for each product sold by the reporting firm or any of its subsidiaries or affiliates. Report sales to marketing categories in thousands of gallons.

c. Firm Name

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4

(Part I. Section B. Item 4. Continued)

Fill out a separate Item 4 for each product sold by the reporting firm or any of its subsidiaries or affiliates Report sales to marketing categories in thousands of gallons

C Firm Name

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5 List the Trademarks (BRANDS) of Motor Gasoline currently sold by the Parent Firm and/or its Subsidiaries and Affiliates

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6 CERTIFICATION

Cert fying Officer I certify that the information submitted on this form is factually accurate and complete to the best of my knowledge.

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FEA P-305-S-0

FEDERAL ENERGY ADMINISTRATION Washington DC 20461

Refiner/Importer Historical Report of Petroleum Product Distribution - Part II

APPROVED BY GAO

B-181-254(575010)

EXPIRES 12-31-75

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4. Check if address or firm identification on the mailing label of the envelope which contained this questionnaire differs from the correct current information listed in Item 3. above

Section B REFER TO THE PART II INSTRUCTIONS AND DEFINITIONS BEFORE ATTEMPTING TO COMPLETE THE FOLLOWING FIVE ITEMS

1

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List all subsidiary and affiliated refineries and importers whose products are included in the sales of the reporting firm over the period January. 1972 to December, 1974. Indicate for each refinery and importer the dates within the above period, for which its sales are included.

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If reproduced copies of the item 1 chart above have been completed to provide all of the requested data, enter the number of copies attached

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