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Original Sheet No. 482 Original Sheet No. 482 : Superseded
SERVICE REQUEST FORM
10. Are additional or new facilities necessary for Southern Star to receive
or deliver gas for the transportation service requested herein?
CHECK ONE: ___________Yes __________No
If yes, such new facilities will require a separate Construction and
11. For firm transportation and 311 ITS requests, list on Exhibit A (1) the
precise location of each receipt point and (2) the maximum daily
quantity (DTH) being requested for each receipt point (provided,
however, the maximum daily quantity at any receipt point shall not
exceed the quantity of supply to be available to Shipper at such point).
12. For firm transportation and 311 ITS requests, list on Exhibit B (1) the
precise location of each delivery point and (2) the maximum daily
quantity (DTH) being requested for such delivery point.
13. Credit Evaluation - Please provide all financial information requested
in Exhibit C (Credit Application).
14. Is there an affiliation between Southern Star and any of the following
parties to this transaction?
Yes No If Yes, Name
a) Shipper _____ _____ ___________________________________
b) Enduser _____ _____ ___________________________________
c) Supplier _____ _____ ___________________________________
d) Other * _____ _____ ___________________________________
* Please describe involvement ___________________________________