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Original Sheet No. 489 Original Sheet No. 489 : Superseded

SERVICE REQUEST FORM

TRANSPORTATION EXHIBIT A – M

MARKET AREA RECEIPT POINTS

COMPLETE FOR TSS-M, STS-M, FTS-M, SFT-M, or 311 ITS-M (CIRCLE ONE)

List only Primary Receipt Points

Meter # 1/ Location Maximum Daily

Name Quantity (DTH) 2/

__________________ ____________________ _________________

1. __________________ ____________________ _________________

2. __________________ ____________________ _________________

3. __________________ ____________________ _________________

4. __________________ ____________________ _________________

5. __________________ ____________________ _________________

6. __________________ ____________________ _________________

7. __________________ ____________________ _________________

8. __________________ ____________________ _________________

9. __________________ ____________________ _________________

10. __________________ ____________________ _________________

11. __________________ ____________________ _________________

12. __________________ ____________________ _________________

13. __________________ ____________________ _________________

14. __________________ ____________________ _________________

15. __________________ ____________________ _________________

16. __________________ ____________________ _________________

17. __________________ ____________________ _________________

18. __________________ ____________________ _________________

19. __________________ ____________________ _________________

20. __________________ ____________________ _________________

Total Net Receipts (MDTQ) 3/ _________________

1/ Please use the meter numbers as indicated in the Master Receipt Point

List as published on the Electronic Bulletin Boards.

2/ The Maximum Daily Quantity at any receipt point shall not exceed the

quantity of supply to be available to Shipper at such point.

3/ The Total Net Receipts should equal the FTS-M MDTQ on item 7 a(iii) or

7 c(i).