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Original Sheet No. 483 Original Sheet No. 483 : Superseded
SERVICE REQUEST FORM
15. If any marketer affiliated with Southern Star is buying and reselling
any of the gas requested to be transported, does the cost of the gas to
the affiliated marketer exceed the price received for the sale of the
gas by the affiliated marketer, after deducting associated costs,
including those incurred for transportation?
_______Yes _______No ________Not Known
If yes, by how much? $________per DTH.
If this information is not know, it must be provided as soon as known.
Shipper understands that this request form, complete and unrevised as to
format, must be received by Southern Star before the transportation request
will be accepted and processed.
Shipper, by its signature, represents to Southern Star that the information
above is correct and accurate and that all necessary transportation, gas
purchase and gas sales arrangements have been or will be secured prior to the
execution of the Southern Star transportation service agreement.
Very truly yours,
__________________________________
Signature
__________________________________
Typed Name and Title
Telephone No._____________________
Fax No.___________________________