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ANNUAL ENERGY MANAGEMENT DATA REPORT
 
Agency_____________________________  Prepared by:____________________________ 
 
Reported Year: FY 1996  Date Submitted:___________  Phone:___________________ 
 
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 is optional for the annual report accompanying 
agency budget materials, but the data should be available at least for 
FY 1996 from the agency's recently-completed FEMP submission.) 
 
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 1996 Expenditures (Thou. $)______________________ 
Annual savings anticipated from expenditures_________________ MMBTU 
                                            _________________(Thou. $) 
 
ENERGY SAVINGS PERFORMANCE CONTRACTS 
Number of ESP contracts awarded_________________ 
Annual savings anticipated from ESP contracts________________MMBTU 
                                             ________________(Thou. $) 
UTILITY INCENTIVES 
Incentives received____________________(Thou. $) 
Funds spent in order to receive incentives_____________________(Thou. $) 
Annual savings anticipated from DSM activities________________MMBTU 
                                              ________________(Thou. $) 
TRAINING 
Current year expenditures for energy management training_____________(Thou. $) 
Number of personnel trained_______________________ 

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