Capital Credits

# A B C D E F G H I J K L M N O P Q R S T U V W Y Z

B & B ENTERPRISES

B & T PRODUCE

B & W PLASTICS INC

B AND S 5 AND 10

B E SHERROD GRO

B J'S BEAUTY SALON

B J'S PLAYHOUSE

BABIN THOMAS J

BACON CARL

BACON DEANE

BACON JOE ANN

BACON JOHN W

BACON ODELL

BACON SHARON

BACON SONYA G

BACON WARREN J

BAGWELL DENISE

BAILEY & HARVILLE

BAILEY AZURE G

BAILEY EWELL

BAILEY H B

BAILEY HENRY J

BAILEY HENRY JACK

BAILEY J O

BAILEY JAMES E

BAILEY JOHN S

BAILEY JOSEPH W

BAIR ANDREW

BAIRD BELTON

BAIRD GARY

BAIRD W L

BAKER BACKHOE ENTERPRISE LLC

BAKER CAROLYN

BAKER HERSHEL P

BAKER JESSE H

BAKER JUDY

BAKER LEWIS T

BAKER MACK

BAKER MARTHA

BAKER MARY

BAKER SCOTT, TONY, JASON

BAKER WAYNE J

BALDING TINA GRIFFTH

BALDOWSKI JERRY W

BALES G DOUGLAS

BALKEMA MARTIN J

BALL DAVID A

BALL WILLIAM E

BALLEW REV LUTHER

BALLOON BOUTIQUE

BALTAZAR JACINTO ZAMORA

BANKS ANNABEL D

BANKS BERNARD

BANKS C T

BANKS EDWIN D

BANKS HENRY W

BANKS HENRY W JR

BANKS LARRY

BANKS LINTON G

BARBARA'S WRECKING YARD

BARBER MRS HAZEL

BARBER PETE

BARBER TERRY

BARGAIN CENTER CAROL'S

BARGERON EMORY JR

BARNARD DON

BARNARD MARGARET

BARNES BRAD S

BARNES DERETA

BARNES EXCAVATING

BARNES HENRY J

BARNES JOHN L

BARNES LLOYD MRS

BARNES W L

BARNES WESLEY MRS

BARNETT DAVID & LINDA

BARNETT MARY LOU

BARNETT PROCTOR MRS

BARNWELL BERNICE T

BARNWELL CONSTRUCTION CO

BARNWELL CONSTRUCTION CO.

BARRON KRISTI

BARROW CURTIS

BARROWS JASON

BARRS MRS W F

BARRS ROBERT R

BARTON WILLIAM T

BASHLOR PATRICIA O

BASS GLORIA E

BATAYIAS JEAN L

BATEMAN GEORGE

BATES CHARLES K

BATH B C

BATH JESSE L

BATH STEPHEN L

BATH THOMAS R

BATTLES RODNEY

BAUGHER JOHN E

BAUMANN SHARON

BAXTER JULIE

BAY HOUSE ANTIQUES/REPRO (FAX)

BAY HOUSE ANTIQUES/REPRODUCTIO

BAYER GEORGE

BAZEMORE BEN

BAZEMORE CHARLES

BAZEMORE DONNA

BAZEMORE EUGENE

BAZEMORE FRED

BAZEMORE FRED V

BAZEMORE GENE

BAZEMORE H D

BAZEMORE JACK

BAZEMORE JACK S

BAZEMORE JAMES

BAZEMORE LINDA

BAZEMORE PATRICIA A

BAZEMORE ROBERT

BAZEMORE SIDNEY

BEAN GAYE

BEAN PHIL

BEARD MARK W

BEASLEY B E

BEASLEY BILL

BEASLEY DONALD E

BEASLEY FRANK & ELOISE

BEASLEY GEO WESLEY

BEASLEY GRANT

BEASLEY H D

BEASLEY I H

BEASLEY INMAN

BEASLEY J HARRY

BEASLEY J K

BEASLEY JAMES

BEASLEY JAMES W

BEASLEY JERRY K

BEASLEY LORIE

BEASLEY MRS DORIS

BEASLEY MRS JAMES

BEASLEY PHYLLIS

BEASLEY RANDALL

BEASLEY SCOTT

BEASLEY SHIRLEY

BEASLEY W L

BEASLEY WILLARD

BEASLEY WILLIAM H

BEASON LISA

BEATTY VERNON

BEATY C L

BEATY MARVIN

BEAUBE WILLIAM C

BECKMAN J E

BECKWORTH'S GROCERY AND GAS

BED TENT (FAX)

BED TENT THE

BEDARD MAURICE

BEDINGFIELD NELSON

BEEGLE JEFF

BELCHER AARON

BELCHER ALVIN

BELCHER JOHN

BELCHER JUSTIN W

BELCHER R E

BELCHER TWIN OAKS FARM LLC

BELL A D

BELL A DONALD TRUCKING

BELL J ROY

BELL JIMMY & GLORIA

BELL JOSEPH

BELL TRACY

BELLAMY EASTER

BELLFORD WALTER

BELLINGER CLEO

BELLSOUTH MOBILITY INC

BELMAR RESTAURANT

BEMBREY CARTER

BENEMON MARAGET H

BENJAMIN JAY F

BENNETT ALTON

BENNETT CARLOS

BENNETT CHRISTOPHER C

BENNETT DAN

BENNETT DOLLIE

BENNETT GERALD W

BENNETT JAMES

BENNETT JEFF

BENNETT JOE

BENNETT MARY

BENNETT TAMMY D

BENNETT TERESA

BENNETT WAYNE A

BENNETT WILLIAM GREGORY

BENNETT-DEAL WELL DRILLING

BENNIMAN ROSCOE

BENSON ROBERT M JR MD

BENTON DELMAS C

BENTON DELMUS C

BENTON JEAN

BENTON NEKYAH

BENTON REGINA A.

BERAN TIMOTHY

BERES MICHAEL

BERNSTEIN ROBERT

BERRY DELOROUS

BERRY HARVEY

BERRY HARVEY E

BERRY MICHAEL

BERRY SHANNON

BERRY WILLIE

BEST CATHY

BEST WAY OFFICE CONTRACTORS

BETHEA BURT W

BEVILLE ROGER W

BICE BRIAN

BIGGERS GREG

BIGGERS GREG & VICKY

BIGGERS LARRY

BIGWOOD TOM

BILL'S FEED AND SEED

BILL'S GULF SERVICE STATION

BILLY'S GROCERY

BIRD COMER H

BIRD JAMES

BIRD LEILA

BISER, JAMES N.

BISHOP BILL

BISHOP BRAD

BISHOP JOHN W

BISHOP SHARMON

BISHOP STEPHEN

BISHOP VERA S

BIT OF COUNTRY CRAFTS

BITTICK JOE

BLACK BOBBY

BLACK GEORGE R

BLACK JEAN

BLACK JIM

BLACK RICKEY

BLACK TONY

BLACKBURN ANTHONY

BLACKBURN F G

BLACKBURN JOHN DAVID

BLACKBURN JOSEPH E III

BLACKBURN KATHLEEN

BLACKBURN MICHAEL

BLACKBURN RICHARD W

BLACKBURN ROBERT

BLACKBURN VERNON E

BLACKBURN VERNON E JR

BLACKMON T J

BLACKSTONE-GA FOUNDRY INC

BLAIR JERAMY

BLAIR OLA W & DIANE L

BLAIR WALLACE

BLAKE RICHARD D

BLAKEWOOD REGINALD

BLANCHETT ROBERT J

BLAND c A SR

BLAND DAISY

BLAND DAVID & CINDY

BLAND EDMOND A

BLAND ESTHER A MRS

BLAND GARY

BLAND GARY LEE

BLAND H C

BLAND H G

BLAND NEVA M

BLAND THOMAS H

BLANTON SHERRIL

BLEUEL JOHN S

BLEVINS MARGARET

BLIGEN LUTHER S

BLITCH J W

BLITCH JOHN W

BLITCH KEVAN

BLITCH L R JR

BLITCH MARIE J

BLITCH MARY L

BLITCH MARY M

BLITCH MATT

BLITCH MRS MARIE

BLITCH PLACE

BLITCH PLACE FARMS SHOP

BLITCH ROBERT G

BLITCH ROY

BLITSH L R JR

BLOODWORTH MAMIE

BLOUNT MIKEY M JR

BLUE SCOTT

BLYTHE J F

BO-PEEP AMUSEMENT INC

BOATRIGHT BERNICE

BOATRIGHT DAVID

BOATRIGHT JUANITA E

BOB'S WHOLESALE INC

BOBBY COLSON'S GARAGE

BOHLER JOHNNY

BOHLER KIM

BOHNE F C

BOISKY JESSIE

BOLDS WALTER

BOLEN RYSON

BOLING L A

BOLTEN ALLEN

BOLTEN CHARLES

BOLTON DEWEY C

BOLTON DONNA

BOLTON DOT

BOLTON HENRY L

BOLTON HORACE

BOLTON MOSE

BONNER DANIEL

BONNER METAL

BONNETT BILLY

BONNETT GARDNER

BONNETT GERALD L

BONNETT H G

BONNETT RALPH W

BONNETT SAMUEL

BONNETT'S DISCOUNT STORE

BONNETT'S MOBIL SERV. STATION

BONNETTE RALPH W

BONNETTE STANLEY

BONNETTE'S TEXACO

BOOKER FREDDIE J

BOONE W T

BOSTIC CYNTHIA ANN

BOSTIC ULA

BOSTWICK DONALD R II

BOSWELL GAS CO

BOSWELL LELAND E

BOULINEAU RENEE

BOURGEOIS C M

BOURGEOIS C N

BOURNE VERA

BOUTON JAMES P JR

BOWEN A J

BOWEN A W COL

BOWEN ALFRED J JR

BOWEN ALMEDA K

BOWEN ANDY

BOWEN ARMANDA

BOWEN AUDREY

BOWEN BARNEY

BOWEN BILLY

BOWEN BILLY D

BOWEN CHRISTINA

BOWEN EUSTICE MRS

BOWEN HAROLD GROCERY CO

BOWEN HERMAN E

BOWEN J E

BOWEN J L

BOWEN J M JR

BOWEN JACK

BOWEN JENNY

BOWEN JIMMIE

BOWEN JOHN

BOWEN JOHN W

BOWEN MARK T

BOWEN MYRTLE

BOWEN PAT

BOWEN PATRICIA

BOWEN PAUL E

BOWEN ROBERT A MRS

BOWEN RONALD

BOWEN SAMUEL J

BOWEN W A FARM

BOWEN W B

BOWEN WILLIAM W

BOWER MANZY

BOWERS CLARK

BOWERS CURTIS

BOWLES FRED

BOWMAN JUNIOR LANIER

BOWMAN WAYNE L

BOYD DOWDY JR

BOYD KEN

BOYD RUBY LEE

BOYETT CHRISTY

BOYETT J E

BOYETT JAMES C

BOYETTE ALICE

BOYETTE CHRIS W

BOYETTE LONNIE

BOYKIN MOZELLE

BOZZY'S STOP & GO

BRACK CLARENCE W

BRACK MICHELLE

BRACK ROBERT I

BRACK S W

BRACK VIOLA S

BRADFORD FRED

BRADFORD LAURIE

BRADFORD LEE

BRADFORD MIKE

BRADFORD ROMAINE

BRADLEY BENNIE

BRADLEY DENNIS WAYNE

BRADLEY DUDLEY

BRADLEY ELAINE

BRADLEY GROCERY

BRADLEY GROCERY PAY STA.

BRADLEY J C

BRADLEY JERRY

BRADLEY JIMMY

BRADLEY KATHY A

BRADLEY L T JR

BRADLEY L T SR

BRADLEY LINDA T

BRADLEY LONNIE

BRADLEY MARSHAL W

BRADLEY PATRICK O

BRADLEY W B JR

BRADLEY W B JR SERVICE STA

BRADLEY W B SR

BRADSHAW CORA L

BRADSHAW DAVID

BRADSHAW LILLIE P

BRADY LILLIE BELL

BRAGG CLIFFORD

BRAGG CLIFFORD E

BRAGG EMORY

BRAGG FLOYD F

BRAGG GARY E FARM

BRAGG H H

BRAGG JACK

BRAGG KATHERINE B

BRAGG KATHLEEN

BRAGG LATRELLE

BRAGG LOU

BRAGG MARY ELLEN

BRAGG P R

BRAGG PETE

BRAGG R M JR (RIVER)

BRAGG R M SR MRS

BRAGG RICKY

BRAGG SHIRLEY C

BRAGG WILLIAM ALAN

BRANDY SCOTT T

BRANHAM WALTER L SR

BRANNAM GEORGE L

BRANNEN - WILLIAMS BAIT FARM

BRANNEN ALEX

BRANNEN ALEX D

BRANNEN ALICE A MRS

BRANNEN ALTON

BRANNEN AMOS

BRANNEN ANDREW

BRANNEN CECIL T

BRANNEN CHARLES

BRANNEN CHARLES P

BRANNEN CHARLES T

BRANNEN CHARLES W

BRANNEN CLARA Y LAKEHOUSE

BRANNEN CLYDE

BRANNEN E F

BRANNEN ELMER

BRANNEN EMORY

BRANNEN F M

BRANNEN FEED MILL

BRANNEN FLORICULTURE

BRANNEN FRANK M

BRANNEN GEO D

BRANNEN GEORGE M "RIVERHOUSE"

BRANNEN GLORIA A

BRANNEN H S

BRANNEN J A MRS

BRANNEN J B JR

BRANNEN J R JR

BRANNEN JACK F

BRANNEN JIMMY

BRANNEN JIMMY W

BRANNEN JOHN C

BRANNEN KENT

BRANNEN L L

BRANNEN LESTER MRS

BRANNEN LONNIE L

BRANNEN M S

BRANNEN NANCY W

BRANNEN P WAYNE

BRANNEN RUFUS G FARM

BRANNEN RUFUS L

BRANNEN RYAN

BRANNEN SHELBY J

BRANNEN TALMADGE

BRANNEN THOMAS

BRANNEN TROY

BRANNEN W A

BRANNEN W D (ARNIE)

BRANNEN WENDELL

BRANNEN WILLIAM E

BRANNON SUE

BRANSON HARRY

BRANT ELDON G

BRANTLEY ALVA REV

BRANTLEY JOE E

BRANTLEY P K

BRASSELLS JEROME P

BRASWELL A M JR

BRASWELL ANN

BRASWELL DANNY H

BRASWELL DELIA

BRASWELL JACK

BRASWELL JEAN

BRASWELL JOHN D

BRASWELL LOIS

BRASWELL OPHELIA R

BRASWELL RONDY

BRASWELL TED D

BRAUN ETHELYN B

BRAZELL WALTER & CHRISTY

BRAZIL DARROL

BREEDEN J CAPP

BRENDA MOCK

BRIBBS H G SR

BRIDGES C A & JANET

BRIDGES GLADYS

BRIDGES JOHN O

BRIDGES KEITH

BRIDGES LARRY J

BRIDGES TOM W

BRIGDON DAN

BRIGGS GUY V

BRINKE SANDRA L

BRINSON ALZINE

BRINSON AZLINE

BRINSON CURTIS & MELINDA

BRINSON CYNDI

BRINSON ELIZABETH

BRINSON FRANK & KAREN

BRINSON FREDDIE

BRINSON JAMES

BRINSON JAMES EDWARD

BRINSON LAMAR

BRINSON R L

BRINSON RETTA

BRINSON S C MRS

BRINSON WAYNE & CHERYL

BRISENDINE PAUL

BRISENDINE ROBERT R III

BRITT GENE R

BRITT WILL

BRITTAIN WILLIAM

BROGDON DAVID & DEBRA

BROGDON ESSIE MAE

BROGDON HAZEL

BROOKLET AUTO SALES

BROOKLET CLUTCH & BRAKE

BROOKLET DAY CARE CENTER

BROOKLET DRUG CO., INC.

BROOKLET FEED & SEED CO.

BROOKLET FLOWER & GIFT SHOP

BROOKLET FOOD CO.

BROOKLET FOOD CO., INC.

BROOKLET GA CO., INC.

BROOKLET GULF PAY STATION

BROOKLET GULF SER. STA.

BROOKLET GULF SERVICE

BROOKLET HANDCRAFTED

BROOKLET INS. AGENCY

BROOKLET INSURANCE AGENCY

BROOKLET INSURANCE CO.

BROOKLET LAUNDRY

BROOKLET MACHINE & REPAIR

BROOKLET METHODIST PARSONAGE

BROOKLET MOBIL S. S.

BROOKLET MOTOR CO. PARTS DEPT.

BROOKLET RADIO & T.V. SERV.

BROOKLET SEED CLEANING

BROOKLET SPORT'S CENTER

BROOKLET VARIETY STORE

BROOKS CHARLES B

BROOKS GULF SERVICE

BROOKS JACKIE S

BROOKS RESTAURANT

BROOKS RONNIE H

BROOKS S F

BROWER S B

BROWN & BOHLER FARMS

BROWN & SON'S FLOORING

BROWN AVIS ESTATE OF

BROWN BEN A

BROWN BILL

BROWN CHARLES F

BROWN CHERYL

BROWN CLARENCE

BROWN CONNIE

BROWN CYLDE

BROWN DANIEL M

BROWN DENNIS G

BROWN DONALD J

BROWN DONALD RAY

BROWN DONALD ROBERTS

BROWN DONNA J

BROWN DOROTHY

BROWN DOUG

BROWN E L

BROWN ELIZA

BROWN EMERSON

BROWN EUGENE

BROWN EZELL

BROWN FRANK ESTATE

BROWN GARY

BROWN GEORGE C

BROWN H D SR

BROWN HARRY VINCENT

BROWN J C

BROWN J F MRS

BROWN J NELL

BROWN J W

BROWN JAMES C

BROWN JAMES II

BROWN JANE

BROWN JIMMY W

BROWN JOHN AUBREY

BROWN JOHN M

BROWN JOSHUA

BROWN JUANITA

BROWN KEVIN

BROWN LAWN SERVICE

BROWN LESTER FERTILIZER

BROWN LINDA MARY

BROWN LONNIE JR

BROWN LOWERINE

BROWN M E SHOP

BROWN MANZY E

BROWN MARY C

BROWN MARY L

BROWN MATTIE & ERIC

BROWN MIKE

BROWN MINNIE

BROWN NATHAN

BROWN PAT

BROWN PETE

BROWN R C

BROWN R DANNY

BROWN RANDY

BROWN RICHARD O

BROWN ROBERT A

BROWN RONNIE

BROWN RUFUS

BROWN SANDRA

BROWN SCOTT

BROWN SIGN & BODY SHOP

BROWN T R

BROWN TEXAS HAROLD & MARIE

BROWN TINA M

BROWN TOMMY

BROWN TONY R

BROWN VERA MAE

BROWN VERNON

BROWN W A

BROWN W L

BROWN WALLACE

BROWN WAYNE

BROWN WILLIAM C

BROWN WILLIAM Z

BROWN WYMAN R

BROWN'S ALLEN UPHOLSTERY

BROWN'S AUTO SERVICE

BROWN'S BODY SHOP - FAX

BROWN'S CHARLES S.

BROWN'S SIGN CO. & BODY SHOP

BROWNING ANNE T

BRUEN MARY J ESTATE

BRUGGEMANN W F

BRUNGER SHARON (APT)

BRUNSON EDD

BRUNSON GERTIE MAE

BRUNSON J V

BRUNSON JEWELL

BRUNSON JOE

BRUNSON JOSEPH

BRUNSON MARILYN

BRUNSON SERVICE STATION

BRUNSON W E

BRUNSON W H

BRUNSON W L

BRUNSON WILLIE BELL

BRYAM JOHNNY B

BRYAN BOB (SHOP)

BRYAN BOB & JUDY

BRYAN K N

BRYAN T R

BRYANT CYNTHIA

BRYANT KATHY

BRYANT LARRY R

BRYANT MARY

BRYANT WILBUR

BRYNGELSON LOIS

BRYSON LEMUAL T

BUCAMPER RAYMOND

BUCHAN DARLENE

BUCKLEY BILLY E

BUCKLEY RAYMOND

BUCKNER JEFF

BUDGET JOHNNY

BUDGETT HARRY

BUIE B EDWIN

BUIE CHERYL

BUIE ERNEST

BUIE INMAN

BUIE W ERNEST

BUKOWIEC JOSEPH

BULLARD JESSE D

BULLARD MARIE

BULLOCH AND CANDLER DAY CARE

BULLOCH AUTO PARTS

BULLOCH C C I

BULLOCH CARPET SHOP

BULLOCH CO FORRESTRY UNIT

BULLOCH CONSTRUCTION

BULLOCH COUNTY BD OF COMM

BULLOCH COUNTY COMMISSIONERS

BULLOCH COUNTY N.F.O

BULLOCH COUNTY RECYCLING

BULLOCH HOME IMPROVEMENT

BULLOCH LOGGING & TIMBER

BULLOCH MARINE

BULLOCH OUT PATIENT ANATHESIA

BULLOCH TELEPHONE COOPERATIVE

BULLOCH TRUCK SALES

BUNCE AUGUSTINE A

BUNCH DUEY

BUNCH ELECTRONICS

BUNCH EUGENIA

BUNCH EVA H

BUNCH EVELYN

BUNCH FRANCIS

BUNCH IDA M

BUNCH JAMES HENRY

BUNCH JOHN

BUNCH LELA

BUNCH M DAVID

BUNCH MARY ELLEN

BUNCH MELVIN

BUNCH MILTON JR

BUNCH RHONDA

BUNCH SANDRA M

BUNCH T H MRS

BUNCH VICKEY L

BURGESS CHARLES J

BURGESS VIRGIL

BURKE CARLA

BURKE CELESS N

BURKE CLIFFORD

BURKE H D

BURKE J C

BURKE JOY P

BURKE L D

BURKE LASSIE R

BURKE LOUIS

BURKE T W

BURKE THOMAS

BURKE THOMAS A

BURKHALTER ALVA

BURNETT DOROTHY

BURNETT GREGORY

BURNETT JOHN

BURNETTE R F JR

BURNHAM LEWIS A

BURNS BENNIE

BURNS S W

BURNS TOMMY

BURNSED A B

BURNSED ARTHUR

BURNSED CHARLES

BURNSED CHUCK

BURNSED F GLENN

BURNSED H C JR

BURNSED JAMES H

BURNSED LARA

BURNSED SUSAN

BURNSED W HAROLD

BURNSED WILLIAM

BURROUGHS CORP.

BURROUGHS CYNTHIA

BURROUGHS KAREN

BURROUGHS TOMMIE

BUSBY BOBBY

BUSBY DENISE M

BUSBY LUCILLE MRS

BUSH CLARISSA

BUSK CHARLES (CHUCK)

BUSK CHARLES G

BUTLER ANNABELLE

BUTLER BOBBIE J

BUTLER C H

BUTLER J M

BUTLER JIMMY

BUTLER L B

BUTLER ROBERT W

BUTLER W E

BUTLER WILLIAM H

BUTLER WILLIAM R

BYRD C S

BYRD ESSIE

BYRD ETHEL N

BYRD ETNA F

BYRD JACK

BYRD JAMES

BYRD JOHN L

BYRD JULIA

BYRD PERCEY L

BYRD RICHARD F (DICKIE)

BULLOCH TELEPHONE COOPERATIVE CLAIM FORM

Existing Member Name(Required)

First Last

Existing Street Address

Street Address Address Line 2 City State ZIP Code

Updated Name(Required)

First Last

Updated Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Account Number

Member Number

Phone Number

In conjunction with the retirement of capital credits prior to 1990, I hereby make the following certification regarding my status or my entities status prior to receiving our patronage refund:

I am a residential customer and have not deducted the cost of communication service on any tax return for the years prior to 1990.

The qualified Member above is deceased and I am claiming the Patronage refund on their behalf. I have included a death certificate and a court document to verify that I am qualified to receive the refund and will distribute the proceeds according to the laws of Georgia.

My entity is incorporated under the corporate laws of Georgia and our state issued control number below.

Control Number

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