Caprock Pipeline Company

First Revised Volume No. 1

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Effective Date: 01/01/1993, Docket: RS92- 58-001, Status: Effective

Original Sheet No. 33 Original Sheet No. 33 : Effective

 

3. If Caprock is unable or unwilling to provide service at the

requested discounted rate, is Shipper willing to pay the maximum

rate(s) for the requested service(s) to include any published

discounts available to all similarly situated Shippers? ____ Yes

____ No

 

AFFILIATE INFORMATION

 

1. Is shipper affiliated with Caprock?

____ Yes ____ No

 

If YES, please state specific affiliation:________________

 

2. Is the Requesting Party (if other than Shipper) affiliated with

Caprock?

____ Yes ____ No

 

If YES, please state specific affiliation:________________

 

3. Is Shipper's or the Requesting Party's supplier affiliated with

Caprock?

____ Yes ____ No

 

If YES, please state specific affiliation:________________

 

4. If gas transported is being purchased from an Caprock

affiliate, or if the Requesting Party or Shipper is an Caprock

affiliate, does the cost of gas to that affiliate exceed its sales

price, less associated costs including transportation expenses,

i.e., is the gas being sold at a loss?

 

If YES, specify amount of loss: _____________________________

 

AMENDED SERVICE REQUEST

 

1. Addition of Delivery Point(s) -- Add the Delivery Point(s)

identified under Section 1 on Exhibit A to Contract

#____________________.

 

Is the gas to be transported from the additional Delivery

Point(s) subject to take-or-pay relief to Caprock?

 

____ Yes ____ No ____ Unknown

 

If YES, what percentage of total contract quantity?____ %

 

If producing area is different than that reported in Initial

Service Request, please so state:

__________________________________________________________