American Midstream (AlaTenn), LLC

Fifth Revised Volume No. 1

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Effective Date: 05/01/2010, Docket: RP10-493-000, Status: Effective

Original Sheet No. 310A Original Sheet No. 310A

FORM OF SERVICE CONTRACT (FT)

(continued)

EXHIBIT "A"

TO GAS TRANSPORTATION CONTRACT (FT)

DATED ___________

BETWEEN

AMERICAN MIDSTREAM (ALATENN), LLC

AND

Contract No. ______________

POINT(S) OF RECEIPT

METER NO.

DESCRIPTION

TOTAL VOLUME