Southern Star Central Gas Pipeline, Inc.

Original Volume No. 1

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Effective Date: 05/01/2003, Docket: RP03-352-000, Status: Effective

Original Sheet No. 480 Original Sheet No. 480 : Superseded

SERVICE REQUEST FORM

d. FSS or ISS

i. Maximum Daily Withdrawal Quantity (MDWQ)* ______DTH

ii. Maximum Storage Quantity (MSQ)** ______DTH

iii. Associated Transportation Agreement(s)

TA-________________________________________

Balancing Provision:

State whether net transportation imbalances below the stated

tolerances on associated Transportation Agreements are to be

injected into or withdrawn from storage, in accordance with

Article 9.8 of the General Terms and Conditions.

CHECK ONE: YES________ NO_______

* MDWQ must be less than or equal to the MDTQ of the

Associated Transportation Agreement(s).

** MSQ = MDWQ x 33 for FSS