Cheyenne Plains Gas Pipeline Company, L.L.C.

Original Volume No. 1

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Effective Date: 07/26/2010, Docket: RP10-876-000, Status: Effective

First Revised Sheet No. 405 First Revised Sheet No. 405

Superseding: Original Sheet No. 405

FORM OF TRANSPORTATION SERVICE AGREEMENT

APPLICABLE TO RATE SCHEDULE FT

(CONTINUED)

EXHIBIT A

to

FORM OF TRANSPORTATION SERVICE AGREEMENT

RATE SCHEDULE FT

between

CHEYENNE PLAINS GAS PIPELINE COMPANY, L.L.C. (Transporter)

and

_______________________________ (Shipper)

DATED: _____________________

Shipper's Maximum Delivery Quantity ("MDQ"): See Paragraph 11

Primary Receipt Minimum Maximum

Primary Receipt Effective Point Quantity Pressure Pressure

Point(s) Dates (Dth per Day) p.s.i.g. p.s.i.g.

(Note 1) (Note 2)

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Primary Delivery Minimum Maximum

Primary Delivery Effective Point Quantity Pressure Pressure

Point(s) Dates (Dth per Day) p.s.i.g. p.s.i.g.

(Note 1) (Note 3)

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