Crossroads Pipeline Company

First Revised Volume No. 1

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Effective Date: 11/01/2001, Docket: RP02- 14-002, Status: Effective

Original Sheet No. 568 Original Sheet No. 568 : Effective

REQUEST FOR SERVICE

(Continued)

9.

(i) Delivery Point (ii) Daily Quantity

_____________ _______________

_____________ _______________

_____________ _______________

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 ___________________________________________________