B-R Pipeline Company

Original Volume No. 1

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Effective Date: 05/01/2004, Docket: RP04-224-000, Status: Effective

Original Sheet No. 123 Original Sheet No. 123 : Effective

GENERAL TERMS AND CONDITIONS

(Continued)

24. FORM OF TRANSPORTATION REQUEST (Continued)

Transportation Request (Continued)

9. Requested Term of Service: Commencement Date (____/____/____)

Termination Date (____/____/____)

(these must be dates)

Evergreen Provision Requested _______ Yes

_______ No

10. Requested Maximum Service Quantities. (Also, complete Exhibit "C"

for Rate Schedule FT-1 service.)

For FT-1 Transportation Service:

Contract Demand __________ Dth/day

For IT-1 Transportation Service:

Maximum Daily Volume __________ Dth/day

Estimated Maximum Annual Quantity __________ Dth