Carolina Gas Transmission Corporation

Original Volume No. 1

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Effective Date: 02/25/2009, Docket: RP09-296-000, Status: Effective

First Revised Sheet No. 308 First Revised Sheet No. 308

Superseding: Original Sheet No. 308

EXHIBIT C

to

SERVICE AGREEMENT UNDER

RATE SCHEDULE FT

BETWEEN

Carolina Gas Transmission Corporation

AND

_______________________(“Shipper”)

DATE ________________

Description of rate (check one):

______ Recourse Rate

______ Negotiated Rate under GT&Cs Section 29

______ Discounted Rate under GT&Cs Section 30

If not at the Recourse Rate, complete the following rate matrix and describe

discounted or Negotiated Rate provisions as permitted by the Tariff and

applicable Commission policy and precedent. The rates and provisions set forth

below apply only to the Primary Receipt Point(s) and quantities specified in

Exhibit A of this Service Agreement and the Primary Delivery Point(s) and

quantities specified in Exhibit B of this Service Agreement for the term of

this Service Agreement.

Zone of Delivery Reservation Rate Usage Rate

Zone 1

Zone 2

Provisions: ___________________________________________________________________

Facilities payment, if applicable. (check and describe)

______ Incremental Facilities Charge (GT&C section 2.2(b)(2))

______ Facilities Reimbursement (GT&C section 2.2(b)(3))

Pipeline: _____________________________________

Shipper: _____________________________________

Supersedes Exhibit C, if any, Dated: ____________________