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. 127 Original Sheet No. 127 : Effective

GENERAL TERMS AND CONDITIONS

(Continued)

24. FORM OF TRANSPORTATION REQUEST (Continued)

EXHIBIT "C"

to the

Transportation Request of

____________________________(Shipper)

to

B-R Pipeline Company (Transporter)

Dated ______________________

Individual Receipt Point Maximum Daily Quantity ("MDQ") to Delivery Point

Maximum Daily Delivery Obligation ("MDDO") (For Firm Service Only).

Requested Requested

Name of MDQ Name of MDDO

Receipt Point (Dth) Delivery Point (Dth)

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

__________________ ______________ to _____________ ______________

Total MDQ_______________ Total MDDO________________

Total MDQ and MDDO must match Contract Demand in Item #10 of Request.