Crossroads Pipeline Company

First Revised Volume No. 1

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Effective Date: 11/01/2001, Docket: RP02- 14-000, Status: Effective

Original Sheet No. 528 Original Sheet No. 528 : Effective

 

REQUEST FOR SERVICE

(Continued)

 

8. (i) A - Add (ii) Receipt Point (iii) Daily Quantity

I - Increase

R - Reduce

D - Delete

 

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9. (i) A - Add (ii) Delivery Point (iii) Daily Quantity

I - Increase

R - Reduce

D - Delete

 

_______________ _______________ _______________

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General Comments

 

Requestor hereby certifies that the information contained in this Request for Transportation is complete

and accurate to the best of Requestor's knowledge, information, and belief; that transportation agreements

with all downstream and upstream third-party transporters have been either executed or requested; and that all

State and Federal approvals that are necessary for gas to be received into and delivered from Transporter's

facilities have been applied for or obtained.

 

 

Requestor Company: ________________________________________________________________

 

Signed By: ________________________________________________________________________

 

Title: ____________________________________________________________________________

 

Date: _____________________________________________________________________________