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: _______________________