B-R Pipeline Company

Original Volume No. 1

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Effective Date: 05/18/2009, Docket: RP09-521-000, Status: Effective

First Revised Sheet No. 126 First Revised Sheet No. 126

Superseding: Original Sheet No. 126

GENERAL TERMS AND CONDITIONS

(Continued)

24. FORM OF TRANSPORTATION REQUEST (Continued)

EXHIBIT "B"

to the

Transportation Request of

____________________________(Shipper)

to

B-R Pipeline Company (Transporter)

Dated ______________________

Delivery Points

Maximum Daily Delivery

Delivery Point Name Obligation (Dth)

(For Firm Service Only)

______________________ ______________________

______________________ ______________________

______________________ ______________________

______________________ ______________________

______________________ ______________________