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Original Sheet No. 482 Original Sheet No. 482 : Superseded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

Operating Agreement.

 

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 ___________________________________

 

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