Liberty Gas Storage, LLC

Original Volume No. 1

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Effective Date: 04/15/2007, Docket: RP07-357-000, Status: Effective

Original Sheet No. 215 Original Sheet No. 215 : Effective

 

Exhibit B

between Liberty and________________ (Customer)

CUSTOMER: ___________________ pursuant to the Hub Services Agreement executed

by Customer on Liberty, hereby directs and requests Hub Administrator to do the

following:

Title Transfer: (from) Title Transfer: (to)

Company Name: __________________________Company Name:_______________________

Address___________________________________Address:____________________________

_______________________________________________________________________

Phone:____________ Fax:______________ Phone:______________Fax:________________

RECEIPT P0INT(S)

Flow Date Pipeline Location Volume Shipper's Name

Shipper's

Name Meter Name (Dth/d) Contract

& Meter Number Number

POINT(S) OF DELIVERY

Flow Date Pipeline Location Volume Shipper's Name

Shipper's

Name Meter Name (Dth/d) Contract

& Meter Number Number