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. 344 Original Sheet No. 344

 

TRANSPORTATION SERVICE REQUEST FORM - continued

 

 

For marketing affiliates of AlaTenn, does the cost of gas

exceed the sales price, less associated costs including

transportation, i.e., is the gas being sold at a loss?

 

If so, by how much?

 

If applicable, Shipper agrees by its signature to provide this

information within twenty-five (25) Days after the Month in

which the Transportation Service occurred.

 

 

Shipper, by its signature, certifies to AlaTenn (1) that the

information above is correct and accurate and that all

necessary transportation arrangements with the upstream and

downstream Transporters have been or will be secured prior to

the commencement of the requested Transportation Service and

(2) that Shipper will have title, or the right to acquire

title, to the gas that is to be delivered to AlaTenn.

 

Very truly yours,

 

By

 

 

 

* This information is not required at the time of the

request but is required at the time Shipper executes the

Gas Transportation Contract.