CORPORATE CLIENT
VATTENFALL
- Cancellation/renewal of power supply contract
*Date of transfer	**Area lD	**Facility lD
30-06-2013	4PP	735 999 100 057068186
*Facility Address
Landlord and potential contact name (at rental unit and facility)
Roland Ågren
Cancellation
*Account number	Corporate ID number
2000 50 77 97			556 774 – 5442
Company Name		                 Contact Name
Novus Scientific AB
* Address for final invoice
Virdings Allé 2 L
*Zip Code                                                               City
75450			            Uppsala
Telephone Number
0733-96 55 45
*Signature, city and date – customer cancellation
Uppsala, Feb 13, 2013
New Account
*Corporate ID number
* Required field – information needed to register application.
** Required field – information needed only for cancellation but facilitates new applications as well .
Vattenfall Eldistribution AB
Address: 169 92 Stockholm | Visitor Address: Evenemangsgatan 13, Solna | T 08-687 30 00 | eldistribution@vattenfall.com
*Company Name
Contact Name
Contact Name
*Primary Address
Telephone Number
Telephone Number
Email address
*Zip Code
*City
*City
Invoice Reference
Invoice Address ( different from Primary Address)
Invoice Address ( different from Primary Address)
Invoice Address ( different from Primary Address)
Zip Code, City
Interruption Notice Address
Interruption Notice Address
Zip Code, City
*Signature, city and date
*Signature, city and date
- New customer