Business Emergency Contacts Form

Butler City Building: 140 West North Street Butler, PA, 16001-5298

Phone: (724) 285-4124 Fax: (724) 285-6880 Emergency: Call 9-1-1

THIS FILE IS TO BE USED IN CASE OF EMERGENCY BY THE CITY POLICE DEPARTMENT AND FIRE PERSONNELL AFTER BUSINESS HOURS

Business Name :

Phone

Address

Street Address Address Line 2 City State ZIP Code

Owner Name :

Emergency Contact Information:

Name

Phone

Location of:

Gas :

Electric :

Water :

Alarm :

Sprinkler :

Hazardous Material :

Other:

Comments :

Please return to:

Butler City Treasurer
140 West North Street
Butler, Pa. 16001

Butler City Police Department
200 West New Castle Street
Butler, Pa. 16001

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