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
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