Clear Creek Storage Company, LLC

Original Volume No. 1

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Effective Date: 06/01/2000, Docket: CP98-256-002, Status: Effective

Original Sheet No. 90 Original Sheet No. 90 : Effective

 

FORMS OF AGREEMENTS

 

Clear Creek Storage Company, L.L.C.

STORAGE SERVICE REQUEST FORM

 

Send to: Clear Creek Storage Company, L.L.C.

180 East 100 South

Salt Lake City, Utah 84111

 

Attention:

Gas Control Representative

Clear Creek Storage Company, L.L.C.

Fax - (801) 324-2001

 

Note: A check, if required by Section 3 of the General

Terms and Conditions of Clear Creek's tariff, must

accompany each Storage Service request to be

valid.

 

INFORMATION REQUIRED FOR VALID STORAGE REQUEST - Note: Any

change in the facts set forth below, whether before or after

service begins, must be promptly communicated in writing to

Clear Creek.

 

1. Requestor: (Do not complete if same as Customer.)

Requestor's Name: ___________________________

 

2. Requestor's affiliation with Clear Creek: Yes ____ No

____

If yes, type of affiliation: ____________________

 

3. Customer's Name and Address: (Note: Customer is the

party who will execute the Storage Service Agreement.)

_______________________________________________________

Attention: ________________ Telephone _________________

 

Address for statements and invoices: __________________

_______________________________________

Attention: ________________ Telephone _________________

 

Address for all other matters: ________________________

_______________________________________________________

Attention: ________________ Telephone ______________

 

Dispatch and Control Representative____________________

Telephone _________________ FAX ______________________