Great Lakes Gas Transport, L.L.C.

Second Revised Volume No. 1

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Effective Date: 06/01/1997, Docket: RP97-157-008, Status: Effective

Sub. Original Sheet No. 203 Sub. Original Sheet No. 203 : Effective

GAS TRANSPORT, INC.

TRANSPORTATION SERVICE REQUEST FORM

PAGE 2

8. WHO WILL OWN THE GAS WHILE ON GTI'S SYSTEM? (CHECK ONE)

_____ SHIPPER

_____ OTHER (FILL IN) NAME: _________________________________

ADDRESS: _________________________________

CONTACT: _________________________________

TELEPHONE: _________________________________

GTI RESERVES THE RIGHT TO REQUIRE PROOF THAT AN AGENCY AGREEMENT EXISTS

BETWEEN THE SHIPPER AND THE OWNER OF THE GAS WHILE IT IS ON GTI'S SYSTEM.

9. ENTITY SELLING TO OWNER: NAME: __________________________________

ADDRESS: __________________________________

TELEPHONE: __________________________________

ENTITY BUYING FROM OWNER: NAME: __________________________________

ADDRESS: __________________________________

TELEPHONE: __________________________________

LOCATION(S) OF CONSUMPTION:

____________________________________________________________________

(USE TWO DIGIT FERC GEOGRAPHIC AREA CODES PROVIDED ON SUPPLEMENTAL)

10. DATE TRANSPORTATION IS PROPOSED TO COMMENCE:_______________________

11. TERM OF SERVICE: _________ YEARS ________ MONTHS (MAXIMUM 20 YEARS)

12. ARE ADDITIONAL OR NEW FACILITIES REQUIRED TO RECEIVE OR DELIVER GAS FOR THE

TRANSPORTATION SERVICE REQUIRED HEREIN? _________ NO _________ YES

IF YES, DESCRIBE__________________________________________________________

13. THE MAXIMUM DAILY QUANTITY TO BE TRANSPORTED IS ____________ DTH. THE

ESTIMATED TOTAL QUANTITY OF GAS TO BE TRANSPORTED DURING THE REQUESTED TERM

OF SERVICE IS _____________ DTH.

14. NAME AND DESCRIPTION OF RECEIPT POINT(S) INTO GTI'S SYSTEM AND THE MAXIMUM

DAILY QUANTITY EXPRESSED IN DTH OF GAS TO BE DELIVERED BY SHIPPER FOR EACH

POINT. (FOR ITS-1 SERVICE, GENERAL RECEIPT POINTS ARE GRANTED, SIMPLY ENTER

"SEE EXHIBIT". FOR FTS-1 SERVICE, POINTS AND RELATED QUANTITIES MUST BE

DESCRIBED IN FULL.

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