Nautilus Pipeline Company, LLC

Original Volume No. 1

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Effective Date: 04/05/2010, Docket: RP10-475-000, Status: Effective

Third Revised Sheet No. 329 Third Revised Sheet No. 329

Superseding: First Revised Sheet No. 329

 

SERVICE REQUEST FORM

 

 

 

Shipper understands that Transporter is an interstate pipeline company

subject to the regulations of the Federal Energy Regulatory Commission,

and that Shipper's request will become part of a log available for

public inspection. Shipper agrees to pay Transporter's currently

effective maximum transportation rate applicable to this service unless

the Service Agreement specifies a different rate, in which event such

different rate shall control in accordance with its terms. In the case

of firm transportation requiring the construction of additional

facilities, unless otherwise agreed between Shipper and Transporter,

Shipper agrees to pay rates as approved by the Commission designed,

inter alia, to reimburse Transporter for the cost of construction of

such additional facilities. Shipper also understands that it must

reimburse Transporter for the Commission's filing fee upon receipt of an

invoice therefore. Shipper, by its signature, represents to Transporter

that the information set forth in this transportation request is correct

and accurate and that all necessary transportation arrangements with the

upstream and downstream transporters or gatherers, as stated herein,

have been or will be secured prior to the commencement of the requested

transportation

 

 

 

X. Requested by:_____________________________(signature)

 

Name:_____________________________________

 

Title:____________________________________

 

Telephone: _______________________________

 

Email Address: ___________________________