Eastern Shore Natural Gas Company

Second Revised Volume No. 1

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Effective Date: 11/01/1997, Docket: CP96-128-004, Status: Effective

Original Sheet No. 256 Original Sheet No. 256 : Effective

 

EASTERN SHORE NATURAL GAS COMPANY

SERVICE REQUEST FORM

(Continued)

 

(m) In the case of firm service, identify Point(s) of

Delivery where Seller will deliver gas, the requested

Maximum Daily Delivery Obligation (MDDO), in dekatherms,

of Seller at each Point of Delivery and the Downstream

Party taking delivery of the gas at each Delivery Point:

 

Point(s) Rate Downstream

of Delivery Schedule MDDO Party

__________________ ________ _____ ____________

__________________ ________ _____ ____________

__________________ ________ _____ ____________

 

(n) Term of Service:

 

Date service is proposed to commence: ________________

Date service is proposed to terminate: ________________

 

(o) Credit Evaluation:

 

The following information must accompany the request for

service and is considered an integral part of the Service

Request Form:

 

(1) A copy of Requesting Party's most recent audited

financial statements (if audited financial

statements are not available, then Buyer must

provide an attestation by its chief financial

officer that the information shown in the unaudited

statements submitted is true, correct and a fair

representation of Requesting Party's financial

condition);

 

(2) A copy of Requesting Party's most recent Annual

Report and 10-K Form, if applicable;

 

(3) A list of Requesting Party's affiliates, including

parent and subsidiary companies, if applicable;

 

(4) A list of at least three (3) trade references;

 

(5) A bank reference;