Great Lakes Gas Transmission Limited Partner
Second Revised Volume No. 1
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Effective Date: 08/01/2007, Docket: RP07-490-000, Status: Effective
Fifth Revised Sheet No. 66 Fifth Revised Sheet No. 66 : Effective
Superseding: Fourth Revised Sheet No. 66
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Shipper understands that Great Lakes reserves the right to require any Shipper to provide the
information or assurances that Great Lakes deems necessary to establish the creditworthiness of the
Shipper.
Shipper understands that in order for its request to be considered, all of the required information
must be provided in the format reflected in this Service Request. Further, if the service is
provided by Great Lakes, Shipper agrees to pay Great Lakes' currently effective rate applicable for
the requested service, either Rate Schedule FT, EFT, LFT, IT, or MC of its FERC Gas Tariff, Second
Revised Volume No. 1, provided capacity is available on Great Lakes' system for this service.
Shipper also agrees to reimburse Great Lakes for
any Federal Energy Regulatory Commission filing fees related to the requested service upon receipt of
an invoice therefor.
Shipper understands that Great Lakes may require additional information after reviewingthe data
provided herein.
By its signature hereon, Shipper represents that the information contained herein is correct and
accurate. Any change in the facts set forth herein, whether before or after service begins, will be
promptly communicated to Great Lakes in writing. In addition, Shipper certifies that upstream and
downstream transportation agreements will be in place prior to commencement of service.
Certified Statement:
Shipper has, or will have by the time of execution of an Agreement with Transporter, title to, or the
legal right to cause to be delivered to Transporter for Transportation, the gas that is to be
transported and facilities or contractual rights that will cause such gas to be delivered to and
received from Transporter.
THIS SERVICE REQUEST IS HEREBY SUBMITTED
THIS____________________ DAY OF___________________, 20________
BY:________________________________________________________________________
(Please Print or Type Name)
TITLE:_____________________________________________________________________
___________________________________________________________________________
(Signature)
Telephone Number ( )________________________________________________