Dominion Cove Point LNG, LP

Original Volume No. 1

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Effective Date: 06/01/2003, Docket: RP03-341-000, Status: Effective

First Revised Sheet No. 500 First Revised Sheet No. 500 : Effective

Superseding: Original Sheet No. 500

LNG INVENTORY TRANSFER FORM

DOMINION COVE POINT LNG, LP

_____________________________________, a Buyer of service from Dominion Cove Point LNG, LP

(Operator) under Service Agreement No._________ under Operator's _________ Rate Schedule

(Transferor), requests, pursuant to Section 11 of the General Terms and Conditions of Operator's

FERC Gas Tariff, to transfer _______________ Dth to _____________________________________, a Buyer

of service from Operator under Service Agreement No. _________ under Operator's _________ Rate

Schedule (Transferee). Transferee agrees to the transfer of such quantities to its account under

its said Service Agreement. Receipt of this form by Operator and Operator's notice of acceptance

sent to Transferor and Transferee shall constitute a binding contract between the parties.

Transferor Transferee

By: By:

Name: Name:

Title: Title:

Date: Date:

ACCEPTED REJECTED

Dominion Cove Point LNG, LP

Name:

Title:

Date (and Effective Date if accepted):