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. 361 Original Sheet No. 361

 

AMERICAN MIDSTREAM (ALATENN), LLC

 

DELEGATION AUTHORIZATION CONTRACT

 

Pursuant to Section 32 of American Midstream (AlaTenn), LLC's FERC Gas

Tariff, the

undersigned

Shipper is requesting delegation of the following contract for the following term to

the following

Shipper

Representative. The purpose of this delegation is to transfer to Shipper

Representative the

responsibility

to submit and receive notices, make nominations, receive and pay invoices and

perform other

administrative duties as required. Shipper recognizes and agrees to accept the

terms for this

delegation

as described in the above referenced Section 32.

 

Shipper: Shipper Representative:

 

 

Contract No. Contact for Invoices:

 

MDQ (MMBtu)

 

Term of Delegation: Attn:

 

 

From , Contact for Notices:

To ,

 

 

 

Attn:

 

Shipper recognizes that each contract can only be delegated to a single

Shipper

Representative and

cannot be delegated in part. This form must be received by American Midstream

(AlaTenn),

LLC no

later than three (3) Business Days prior to the effective date of this delegation.

Minimum term

for this

delegation is one calendar Month.

 

The undersigned states that he/she is either an officer of the company or has

the ability to

commit

the company to this contract.

 

Shipper: Shipper Representative:

 

BY: By:

Its: Its:

Date: Date: