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. 577 Original Sheet No. 577 : Effective

 

REQUEST FOR SERVICE

(Continued)

 

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: _________________________________________________________________