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Original Sheet No. 491 Original Sheet No. 491 : Superseded

SERVICE REQUEST FORM

TRANSPORTATION EXHIBIT B - P

PRODUCTION AREA DELIVERY POINTS

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

List only Primary Delivery Points

Location # 1/ Location Maximum Daily MDP 2/

Name Quantity (DTH) (psig)

________________ __________________ ________________ __________

1. ________________ __________________ ________________ __________

2. ________________ __________________ ________________ __________

3. ________________ __________________ ________________ __________

4. ________________ __________________ ________________ __________

5. ________________ __________________ ________________ __________

6. ________________ __________________ ________________ __________

7. ________________ __________________ ________________ __________

8. ________________ __________________ ________________ __________

9. ________________ __________________ ________________ __________

10. ________________ __________________ ________________ __________

11. ________________ __________________ ________________ __________

12. ________________ __________________ ________________ __________

13. ________________ __________________ ________________ __________

14. ________________ __________________ ________________ __________

15. ________________ __________________ ________________ __________

16. ________________ __________________ ________________ __________

17. ________________ __________________ ________________ __________

18. ________________ __________________ ________________ __________

19. ________________ __________________ ________________ __________

20. ________________ __________________ ________________ __________

Total (MDTQ) ________________ __________

1/ Please use the Location Numbers as indicated in the Master Delivery

Point List as published on the Electronic Bulletin Board.

2/ Minimum Delivery Pressure. This option is not available under 311

ITS-P.