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. 582 Original Sheet No. 582 : Effective

 

REQUEST FOR SERVICE

(Continued)

 

(ii) Receipt/Delivery meter (Available through Transporter's EBB);

 

The explicit receipt and/or delivery meter(s) must be identified if firm

service is being requested.

 

(iii) Daily quantities (Dth) to be delivered to/by Transporter.

 

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

_______________ _______________ _______________

_______________ _______________ _______________

_______________ _______________ _______________

_______________ _______________ _______________

_______________ _______________ _______________

 

 

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: ___________________________________________________________________