B-R Pipeline Company

Original Volume No. 1

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Effective Date: 01/19/2009, Docket: RP09-176-000, Status: Effective

First Revised Sheet No. 124 First Revised Sheet No. 124

Superseding: Original Sheet No. 124







Transportation Request (Continued)


11. Complete Exhibit "A" for Rate Schedules FT-1 or IT-1 service to specify

the Receipt Points requested.


12. Complete Exhibit "B" for Rate Schedules FT-1 or IT-1 service to

specify the Delivery Points requested.


Warranty of Title to Gas


13. By signing and submitting this transportation request form, Shipper

hereby warrants that Shipper has title, or the right to acquire title,

to the gas that is to be transported.


Establishment of Credit


14. Shipper must establish a credit limit satisfactory to B-R pursuant

to Section 11.2 of the General Terms and Conditions of B-R's

Tariff. Therefore, prior to execution of the agreement, Shipper may be

required to furnish a completed Credit Application and such other

information or advance deposits as B-R may require.


New Facilities


15. Does any requested receipt or delivery point require the installation or

modification of any facilities (e.g. tap, measurement, or other) in

order for it to be utilized?


_______ Yes ________ No


If "Yes" is checked, a separate facilities agreement may be required.






Please return this request to:


Robert B. Cooper

B-R Pipeline Company

550 West Adams Street

Dept. # 143-61

Chicago, Illinois 60661-3676

FAX (312) 672-4532

Verify (312) 436-4140