Florida Gas Transmission Company, LLC
Fourth Revised Volume No. 1
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Effective Date: 09/01/2006, Docket: RP06-463-000, Status: Effective
Original Sheet No. 499 Original Sheet No. 499 : Effective
FLORIDA GAS TRANSMISSION COMPANY, LLC
Purchase Order
Purchase Order (P.O.) Number: _____________
Related PNR Form of Service Agreement Number: _______________
Shipper’s Name: ______________________
Shipper’s Contact: ______________________ Fax Number: ___________________
Account Manager: ______________________ Phone Number: ___________________
Date Confirmation Sent: ______________________ Electronic Address: ___________________
This document shall serve as confirmation of the verbal Purchase Order reached between Shipper and Transporter.
If this confirmation notice does not accurately describe your understanding of our Purchase Order, please
contact
us immediately. If you are in agreement with the terms specified herein, please sign the document and fax it
back
to the Account Manager listed above at (713) ________________.
Transporter and Shipper agree, pursuant to the referenced service agreement, to supplement such agreement with
the following terms included in this Purchase Order:
Maximum Total Maximum
Type Quantity Daily Quantity
Deal Date (Park or Ride) (dth) (dth)
____________ ______________ _____________ ______________
Points of Daily Park Quantity Daily Ride Quantity
Service (in dth) (in dth)
POI/DNR # Min Max Min Max Date Range
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
Total Park Total Ride
Points of
Service Quantity (in dth) Quantity (in dth)
POI/DNR# Min Max Min Max Date Range
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
____________ ______________ ______________ _______________ ____________ ______________
Daily PNR Charge _________ Total Deal Rate __________
($/dth): ($/dth):
Other Provisions:
Transporter Shipper
FLORIDA GAS TRANSMISSION COMPANY, LLC _____________________________
By: __________________________ By: ______________________________
Title: _______________________ Title: _______________________