Centerpoint Energy Gas Transmission Company

Sixth Revised Volume No. 1

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Effective Date: 02/28/2003, Docket: RP03-239-000, Status: Effective

Original Sheet No. 700 Original Sheet No. 700 : Effective

 

INFORMATION REQUIRED IN REQUEST FOR TRANSPORTATION

(Continued)

 

Shipper is: End User _______________ Marketer ___________

Producer _______________ LDC ________________

Intrastate _____________ Other (Specify) ____

Interstate _____________ ____________________

 

Shipper shall provide, in writing, or electronically, as required by this Tariff such other

information as is required to comply with regulatory reporting and/or filing requirements.

 

Shipper or Shipper's agent by its signature, or electronic submission certifies to Transporter (1)

that it has good title to the Gas, or a current contractual right to acquire good title or the

full right to deliver all Gas delivered or caused to be delivered, and (2) that it has entered

into all necessary arrangements to assure that upstream and downstream transportation will be in

place prior to the commencement of the requested service.

 

Shipper or Shipper's agent also certifies that the information herein is complete and accurate to

the best of its knowledge, information and belief.

 

FOR WRITTEN REQUESTS USING THIS FORM:

 

SHIPPER OR SHIPPER'S AGENT

 

 

By:_____________________________ By:____________________________

 

Title:__________________________ Title:__________________________

 

Signature:_______________________ Signature:_______________________