ANNUAL ENERGY MANAGEMENT DATA REPORT
Agency_____________________________  Prepared by:____________________________

Reported Year: FY 1997  Date Submitted:___________  Phone:___________________

ESTIMATED GROSS SQUARE FOOTAGE
Buildings/Facilities                 Excluded Buildings/Industrial
Gross Square Feet, Thou.______________  Gross Square Feet, Thou._____________

ENERGY CONSUMPTION AND COST DATA
(Breakdown of energy types for the current year is optional, but if it's available,
please provide it.)

Buildings/Facilities           Annual Consumption       Annual Cost (Thou. $)
Electricity     MWH            __________________      _____________________
Fuel Oil        Thou. Gal.     __________________      _____________________
Natural Gas     Thou. Cu. Ft.  __________________      _____________________
LPG/Propane     Thou. Gal.     __________________      _____________________
Coal            S. Ton         __________________      _____________________
Purch. Steam    BBtu           __________________      _____________________
Other           BBtu           __________________      _____________________
                Total Buildings/Facilities Costs       _____________________

Excluded Buildings/Industrial   Annual Consumption      Annual Cost (Thou. $)
Electricity     MWH             __________________      _____________________
Fuel Oil        Thou. Gal.      __________________      _____________________
Natural Gas     Thou. Cu. Ft.   __________________      _____________________
LPG/Propane     Thou. Gal.      __________________      _____________________
Coal            S. Ton          __________________      _____________________
Purch. Steam    BBtu            __________________      _____________________
Other           BBtu            __________________      _____________________
                Total Excluded Bldgs/Indust Fac. Costs  _____________________

DIRECT AGENCY EXPENDITURES -- Direct expenditures on facility energy
efficiency improvements
FY 1997 Estimated Expenditures (Thou. $)______________________
Annual savings anticipated from expenditures_________________ MMBTU
                                            _________________(Thou. $)

ENERGY SAVINGS PERFORMANCE CONTRACTS
Number of ESP contracts planned_________________
Annual savings anticipated from ESP contracts________________MMBTU
                                             ________________(Thou. $)
UTILITY INCENTIVES
Incentives anticipated____________________(Thou. $)
Funds planned in order to receive incentives___________________(Thou. $)
Annual savings anticipated from DSM activities________________MMBTU
                                              ________________(Thou. $)
TRAINING
Planned year expenditures for energy management training_____________(Thou. $)
Planned number of personnel trained_______________________



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