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. 341 Original Sheet No. 341

TRANSPORTATION SERVICE REQUEST FORM - continued

9. Term of service:

Years

Months

10. If additional or new facilities are required to receive

or deliver gas for the Transportation Service requested

herein, please provide description of facilities

required, location and requested in-service date.

11. The Maximum Daily Quantity to be transported is

MMBtu's and Mcf and the

maximum monthly quantity to be transported is

Dekatherms and Mcf.

The estimated total quantity of gas to be transported

during the requested term of service is Dekatherms and

Mcf.

12. Name and description of Receipt Point(s) into AlaTenn's

system and the maximum monthly quantities expressed in

Dekatherms and Mcf of gas to be delivered by Shipper for

each point:

(if request is for firm transportation service, the sum

of the maximum quantities above must equal the maximum

transportation quantity in #11 above.)

13. Name and description of Delivery Point(s) where AlaTenn

will redeliver the gas and the maximum daily and monthly

quantities expressed in Dekatherms and Mcf of gas to be

redelivered by AlaTenn for each point: