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

C & R TREE SERVICE INC.

C B DELOACH STORE

C S I

CABERO CHRISTY

CAIL BOBBY

CAIL LIBBY

CAIL W L JR

CAINE L D

CALDWELL ANDREW P

CALHOUN DEANA C

CALHOUN JAMES E

CALHOUN LULA

CALHOUN WESLEY

CALLAHAN JAMES E

CALLAWAY N H

CALLAWAY ROSE W

CAMBELL DAN

CAMERON JAMES & JOAN

CAMERON LISA L

CAMPBELL BOBBY

CAMPBELL E W

CAMPBELL EQUIPMENT EREOTORS

CAMPBELL FAY

CAMPBELL HARRY

CAMPBELL JOHN M

CAMPBELL LARRY

CAMPBELL LUBERTHA

CAMPBELL MICKEY

CAMPBELL OTIS & DOLORES

CAMPBELL THELMA

CANADY JAKE E

CANESTRA ANTHONY

CANNADY GLADYS

CANNADY GORDON

CANNADY JACK G

CANNADY JOHN C JR

CANNADY TIMOTHY

CANNADY WAYNE

CANNON CHARLES L

CANNON G E

CANNON GRADY

CANNON HUGH D

CANNON JAMES F

CANNON JOHN A

CANNON LEAH

CANNON LINDA

CANNON RICHARD P

CANNON S T

CANNON WILMA RUTH

CANTER JIMMY

CAR TOWN

CARI-CLASSIC

CARKENORD DAVID

CARLISLE ANDREW N

CARLTON LOUIE

CARMICHAEL JIM

CARNES ARTHUR

CARNES ROLAND

CARNES WILLIAM RONNIE

CARNEY RALPH

CARPENTER LARRY

CARPENTER PATTI

CARPENTER SANDRA K

CARPENTER WILL

CARPENTER'S HEATING & AIR

CARPET PLUS

CARR DOUGLAS

CARR ROY

CARRINGTON BLONDEAN

CARRINGTON H F

CARRINGTON NELLIE RUTH

CARRUTHERS WENDY

CARSON PAUL D SR

CARTEE C I

CARTEE CALEB

CARTEE DOUGLAS

CARTEE ELLIS

CARTEE GEORGE W

CARTEE JIMMY A

CARTEE KERMIT

CARTEE NATHAN

CARTEE TERRI

CARTEE W JOSH

CARTEE WALTER

CARTER BECKY

CARTER DAN

CARTER DAVID L

CARTER DENNIS E

CARTER F N SR

CARTER GARY L

CARTER JEFF & JASON

CARTER JEROME

CARTER JOE

CARTER K J

CARTER MARY C

CARTER NANCY J

CARTER POULTRY FARM (F N )

CARTER REBECCA

CARTER STEVE

CARTWRIGHT MACKRAL

CARUSO THOMAS

CASH M K

CASON DORRIS R

CASON JAMES A

CASTEEN E W

CATHELL E J

CATO FOY

CAUM ELMER E

CAUTHEN P E

CAVANAGH MICHAEL

CAYLOR ALBERT

CECIL'S

CECIL'S USED CARS

CENKNER DONALD

CENKNER PAUL R &FLORENCE

CENTRAL GEORGIA GAS CO.

CENTRUST

CENTRUST MORTGAGE CORP.

CENTURY 21 RICKETSON & ASSOC.

CHAFFIN BOBBY

CHAFFIN CHARLES A

CHAMPION SHIRLEY

CHANCE PATRICK L

CHANDLER KENNETH

CHANDLER TRACY

CHANEY W LLOYD

CHANNELL JAMES

CHAPMAN DAN C

CHAPMAN HENRY W

CHAPMAN PEARL

CHAPPELL FLOYD N

CHARLIE'S EQUIP & AUTO REPAIR

CHASE J

CHASSAIGNAC LOUIS R

CHASSEREAU DOUG

CHASTAIN ALICE

CHASTAIN DON

CHASTAIN MICHELLE M

CHATFIELD SANDRA

CHATMAN PEARL

CHAVERS DONALD & EVELYN

CHAVERS JOHNNY

CHAVERS RUBY

CHEMKRETE TECHNOLOGIES INC

CHENAULT C R

CHENEY GLEN A

CHESHIRE ROBERT

CHESTER ADRIAN

CHESTER ARTHUR T

CHESTER EDWIN

CHESTER HUEY

CHESTER HUEY & JANICE

CHESTER LIZZIE W

CHESTER MORGAN

CHESTER RICKY

CHESTER ROBERT

CHESTER THOMAS

CHESTER W H

CHILDERS ELIJAH

CHILDERS JOSEPH

CHILDERS LABRITTA M

CHILDERS LATREASE A

CHILDERS TERRY

CHILDERS WILLIE MRS

CHILDREE DAVID

CHRESTOPOULOS ALEX

CHRISTENSEN GARDEUL

CHRISTENSEN SGT DAVID L

CHRISTIAN YOUTH CENTER

CHRISTMAS CHARLES

CHUCK'S SERVICE STATION

CINDY'S HAIR CARE CENTER

CIRRINCIONE ALEX & JOAN

CITY CAFE

CITY DAIRY FARM, INC.

CITY DRUG CO

CLARK BETTY

CLARK BETTY MARIE

CLARK CHARLOTTE

CLARK DAIRY PRODUCTS

CLARK DAVID

CLARK DENNY FAX

CLARK ELIZABETH G

CLARK JAMES

CLARK JANICE

CLARK MALVIN C

CLARK MERLE E

CLARK MICHAEL

CLARK RAYMOND JR

CLARK RONALD

CLARK RUPERT

CLARK RUTHIE G

CLARK WILLIAM A

CLARKE WILL

CLARKE, JOSEPH F.

CLARKE, W. T.

CLASSENS, RAY

CLAUSSEN'S BAKERY

CLAVERIA RICHARD

CLAWSON, DONNA

CLAYTON JOHNNY

CLAYTON, BOBBY R.

CLAYTON, JOHNNY

CLAYTON, RICKY

CLEARY D M

CLEARY, ARNOLD

CLEARY, F. ARNOLD

CLEARY, HERSCHEL F.

CLELAND, DAVID A.

CLEMENTS, JOSEPH

CLEMONS, RUTH

CLIFF MARTIN MILLING CO.

CLIFF MARTIN MILLING COMPANY

CLIFF, MARTIN, SERV. STA.

CLIFTON BEN E

CLIFTON CHERYL

CLIFTON MARY E

CLIFTON ROBERT

CLIFTON ROBERT E

CLIFTON WANDA K.

CLIFTON, ARTHUR FARM

CLIFTON, GREGORY

CLIFTON, JACK G.

CLIFTON, P. W.

CLIFTON, REMER DANIEL

CLIFTON, RONNIE

CLIFTON, W. P.

CLIFTON, WILLIAM P., JR.

CLONTZ, MRS. L. M.

CLOUD CHILDREN

CLOUD VALERIE

CLYDE HOWARD W

COAKLEY BOBBIE

COAKLEY HARVEY H

COASTAL OF CAROLINA

COBB SAUNDRA

COCHRAN LEON

COCHRAN MARILYN

COCHRAN MATTHEW WILLIAM

COCHRANE REV LESTER

CODY GENE

CODY ROSA LEE

COE DONNIE E

COFFEE JOHN B

COFFEY JEANETTE

COHEN BRET

COHEN CHARLES

COHOON WIN & PATRICIA

COLEMAN CURTIS

COLEMAN EUGENE

COLEMAN GAIL

COLEMAN GAYLE

COLEMAN JIMMY

COLEMAN JOHN R

COLEMAN JOHN T SR

COLEMAN JOHN W

COLEMAN KATHLEEN

COLEMAN LUELLA

COLEMAN MELISSA

COLEMAN R C

COLLEY DAVID

COLLIER DOROTHY

COLLIER JOHN T

COLLINS BELL

COLLINS BENNY L

COLLINS BILL

COLLINS C V

COLLINS CHARLES P III

COLLINS CHARLIE

COLLINS COLLIE R

COLLINS CONNIE

COLLINS D SCOTT

COLLINS DORIS

COLLINS EDWARD

COLLINS FROZEN FOODS, INC.

COLLINS GROCERY

COLLINS HOMER

COLLINS HOMER USED CARDS

COLLINS J T

COLLINS JACK

COLLINS JAMES MIKE

COLLINS JANE

COLLINS JERRY

COLLINS JUNE

COLLINS MOBILE HOME SALES

COLLINS MOBILE HOME SERVICE

COLLINS PATRICE A

COLLINS PAUL G

COLLINS PEGGY

COLLINS ROBERT L

COLLINS RUSSELL

COLLINS S M

COLLINS SHERRY

COLLINS SHIRLEY

COLLINS WARNELL

COLLINS WM A

COLQUITT, BRIAN

COLSON ANDY

COLSON AUTO SUPPLY

COLSON CLEARING & GRADING LLC

COLSON WILLIAM

COLSON, BOBBY J.

COLSON, LYNDA M.

COLSON, WILLIAM H.

COMBS RL COL

COMMUNITY BAPTIST CHURCH

COMMUNITY GROCEY

CONCRETE PRODUCTS CO.

CONDER HENRY J

CONDREY JOHNNY T

CONE AARON

CONE AARON JR

CONE ARRON

CONE BERTHA

CONE CLYDE SR

CONE DALA MAE

CONE E L

CONE EASTER MAE

CONE ED FOY

CONE EMMA LOU

CONE GORDON

CONE HENRY E SR

CONE J B

CONE LUCILLE

CONE WILLIAM C

CONEY CONSTRUCTION COMPANY

CONEY IRA W

CONKLIN, JAMES A.

CONLEY B DARWIN

CONLEY DAVID M

CONLEY, BOB G.

CONLEY, NOLAN

CONLEY'S SERVICE STATION

CONN, GLENN R.

CONNELL, TOMMY

CONNER JAMES E (JIMMY)

CONNER KENNY

CONNER, BUBBA

CONNER, HOGAN

CONNER, JOE

CONNER, ROBERT L.

CONNER, S. E.

CONNER, SHERRI

CONTINENTAL FOREST IND. INC.

CONVA - TRANS

CONVA TRANS, INC.

COOK DONNA

COOK EUGENE

COOK JEFFERY R.

COOK JEFFREY R

COOK KENNETH

COOK RICKY G

COOK RILEY J

COOK WILMA

COOK, A. F.

COOK, ANN

COOK, DORIS A.

COOK, ELOISE I., MRS.

COOK, J. H.

COOK, JAMES L.

COOK, SUE MRS.

COOK, WILLIAM T.

COOLER, BURNELL R.

COOLEY, JEAN

COOPER ESTER

COOPER JOHNNY W

COOPER MELVIN

COOPER MELVIN E.

COOPER PATRICIA

COOPER RANDOLPH

COOPER TONY

COOPER TOOLS "DIAL-UP MODEM"

COOPER TOOLS T-1

COOPER WISS

COOPER WISS (CATHY LEE OFFICE)

COOPER WISS (GUARD SHACK)

COOPER WISS (JIM SAXON)

COOPER WISS (PAGER)

COOPER WISS INTERSTATE WATS

COOPER WISS PLANT MGR.

COOPER WISS RADIO CIR.

COOPER WISS SECURITY CIR.

COOPER-WISS (MAINT MOD)

COOPER-WISS H K P

COOPER-WISS PAYSTATION

COOPER, ALBERT

COOPER, ALICE

COOPER, DAVID

COOPER, PRINTICE

COOPER, STEVE

COPE, ROSE ANN

COPELAND ERNIE A

COPELAND, ERNIE A.

COPELAND, R. L.

COPELAND, TOM

CORBETT SHAWN

CORKER OLIVIA

CORNELIUS CONNIE

CORRADO JOHN

CORRELL VIC QUAIL FARMS

COSTLEY J D

COTA LUPE A

COTHRAN DARLENE

COTO M C

COUCH, JOHN T.

COULTER BRIAN

COULTER DEAN

COULTER R G

COUNTRY CAFE PAYSTATION

COUNTRY CORNER GROCERY

COUNTRY CORNER PAYSTATION

COUNTRY KITCHEN

COUNTRY SQUIRE MOBILE HOME

COUNTRY, LUCKY KENNEL

COUNTS, ARTHUR L.

COUNTY SCHOOL CUPT.

COUNTY SCHOOL SUPT.

COUNTY WIDE CONSTRUCTION CO.

COURSEY GLENDA H

COURSEY, DOROTHY A.

COVINGTON JAMES

COVINGTON JESSIE

COVINGTON JOHN

COWART ANNE

COWART ANTHONY

COWART CONNIE

COWART DAVID JR

COWART DEAN

COWART ELLIS

COWART ERIC

COWART FRANK

COWART GARY L

COWART HILDA

COWART JIMMY E

COWART JOHNNY

COWART KERMIT JOHN

COWART LESLIE

COWART MARILYN

COWART MRS A J

COWART MRS B F

COWART PAULA

COWART RICKY

COWART ROY N CLUBHOUSE

COWART STEVEN

COWART TED M

COWBOY'S CORNER GROCERY

COX ELIZABETH

COX RICHARD

COX ROBERT T

COX SHANNON

COX W HOWARD

CRABTREE DON

CRAFT LEE

CRAFT, JOHN

CRAFT, LISA

CRAIG SUZIE

CRANDALL, DONALD W.

CRAPSE JAMES

CRAVEN ROBERT GRAY

CRAWFORD CARROLL S

CRAWFORD DARLENE

CRAWFORD DAVID

CRAWFORD EDDIE J

CRAWFORD MAHALEY

CRAWFORD PAMELA B

CRAWFORD, CHUCK

CRAWFORD, GEORGE

CRAWFORD, KEN & PHYLLIS

CRAWFORD, S/SGT. W. P.

CREASY CHARLES K II

CREASY JAMES A

CREASY KEVIN C

CREASY MEREDITH

CREASY WELL DRILLING

CREASY, J. T.,SR.

CREASY, JAMES A. (HORSE SHOEIN

CREDLE OLIN

CREDLE OLIN L

CREECH, JOE

CREECH, W. D.

CRENSHAW FRANKLIN

CREWS, WALTER A.

CRIBBS EDITH

CRIBBS EDWARD W

CRIBBS EVA

CRIBBS MRS E L

CRIBBS MRS H W

CRIBBS MYRTLE

CRIBBS ROBERT L JR

CRIBBS, E. L. MRS.

CRIBBS, GEORGE H.

CRIBBS, GORDON

CRIBBS, HELEN S.

CRIBBS, JOHN MARVIN

CRIBBS, R. L. JR.

CRIBBS, RANDY F.

CRIBBS, THOMAS E.

CRIBBS, W. L.

CRIDER, MIKE C.

CRIM, BRAD

CRITTENDEN, J. L. JR.

CROCKETT JAMES C SR

CROCKETT PAINT & BODY SHOP

CROFT BERMAN

CROFT RONALD

CROFT, BILL

CROFT, CLIFF

CROFT, ELLIS

CROFT, ELTON

CROFT, GLORIA

CROFT, JEAN

CROFT, JIMMY

CROFT, LOUISE

CROFT, MRS. ELLIS

CROFT, RONALD E.

CROFT, VERNON

CROFT, VERNON F.

CROMLEY & WILLIAMS PEANUT

CROMLEY AND WILLIAMS DRYER

CROMLEY HAL Z.

CROMLEY-TRAMMELL FARMS INC.

CROMLEY, C. S. MRS.

CRONIN DAN J JR & MARIE

CRONK, RICHARD M.

CROOK JACOB C.

CROOK, SAMUEL L.

CROOM, BRENDA

CROOMS, LOUISE

CROSBY ALBERT L

CROSBY ANNIE H

CROSBY B WARD

CROSBY C L

CROSBY C L SR

CROSBY CARLOS

CROSBY CHARLES E

CROSBY HOWARD

CROSBY HUBERT L

CROSBY JACK

CROSBY JAMES

CROSBY JAMES V

CROSBY JERRY

CROSBY JESSE B

CROSBY JOANN

CROSBY JOHN D

CROSBY JOHNNY L

CROSBY LESTER

CROSBY LEVON

CROSBY LEVON C & LINDA

CROSBY LISA

CROSBY MARK J

CROSBY MORGAN T

CROSBY PEARL

CROSBY RODNEY L

CROSBY WILLIAM C

CROSS PAUL

CROSS ROAD GROCERY

CROSS ROBERT E JT

CROSS, JAMES

CROW VIOLET

CROW, BILLY MRS.

CROW, CHARLES E.

CROW, MORRIS

CROWE JESSE T

CROWE TROY

CROWELL, J. R.

CROWELL, LARRY L.

CROWLEY GERLINE

CSI

CULBRETH ARTHUR

CULBRETH SHERBIE JEAN

CULLENS DR FRED E

CULLIMORE DANIEL M

CULLUM B A

CULLUM HARVEY DALE

CURRIE REV J CECIL

CURRY C L JR

CURRY LUTHER

CURRY PAUL

CURTIS, JIMMIE

CUSHMAN J J

CUSHNER ROBERT DPM

CUTCLIFFE, BURTON E.

CUTS & STYLES BY SHIRLEY

CUTTER ADRIANNE S

CYPRESS LAKE ENTERPRISE INC

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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