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. 345A Original Sheet No. 345A

 

FORM OF RELEASE REQUEST

 

American Midstream (AlaTenn), LLC. FOR TRANSPORTER'S USE:

RELEASE REQUEST NO.

 

Telephone: (720) 457-6077

Facsimile: (720) 457-6040

 

Attention: Transportation Services

 

Re: Request to Release Rights to

Firm Transportation Service

 

Gentlemen:

 

("Releasing Shipper") hereby submits its

request to

release

transportation rights held by Releasing Shipper under its Firm Transportation

Service contract

("Service

Contract") with American Midstream (AlaTenn), LLC. ("Transporter"). Releasing

Shipper

proposes to

release such rights pursuant to the General Terms and Conditions of

Transporter's Tariff on file

with the

Federal Energy Regulatory Commission ("FERC"). The terms of the proposed

release are as

follows:

1. Releasing Shipper's Service contract number and responsible contact

person for this

Release

Request:

 

2. Maximum Daily Quantity of firm service rights to be released including

any minimum

acceptable

MDQ (may be stated as minimum/maximum range):