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. 345 Original Sheet No. 345
CUSTOMER NOMINATION FORM
American Midstream (AlaTenn), LLC
Service Requested Contact: _________________________________ Type
of
Service:______________________________________
Company Name:________________________________________________
Attention:____________________________________________
Receipt DELIVERY
PI Ref/ Duns # U/S Fuel PI Ref/ Duns # D/S Pkg. Cap.
Trans. Nom.
Begin
Nomn. End
Meter # (Int.) Cont. Dth Rank Dth Meter (Int.) Cont. Dth Rank ID. Type
Type Date
Time
Date Time
______ ______ ______ _____ _____ _____ _____ ____ ____ ____ ____
___ ____
____
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___ _____
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___ _____
_____
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___ _____
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Notes: One-sided nominations only require receipt or deliver Customer
Contact:__________________________________
meter data (i.e. confirmation agreements, receipt/delivery
operator). Duns Number is required at pipeline
Date:______________________________________________
interconnects.
Phone
#:___________________________________________
Transaction Type Capacity Type
(optional-default to 01) (optional) Fax
#:_____________________________________________
01-Current Business PP-Primary to Primary
02-Authorized Overrun PS-Primary to Secondary
03-Imbalance Payback from Pipeline SS-Secondary to Secondary
04-Imbalance Payback to Pipeline SP-Secondary to Primary
09-Imbalance Trading
AlaTenn Phone Number: (720) 457-6077
Nomination Fax Number: (720) 457-6040