Granite State Gas Transmission, Inc.

Fourth Revised Volume No. 1

Effective Date: 03/01/2010, Docket: RP10-322-000, Status: Effective

Original Sheet No. 188 Original Sheet No. 188

FORM FOR REQUEST FOR TRANSPORTATION SERVICE

(Continued)

(4) If Shipper is requesting service hereunder to

be implemented pursuant to Section 3 of the Natural Gas Policy

Act, certification executed by the local distribution company

or the intrastate pipeline company, on whose behalf the

transportation will be preformed, whether or not such local

distribution company or intrastate pipe- line (1) will have

physical custody of and transport the gas at some point during

the transaction of which the transportation by Transporter is

a part, or (2) will hold title to the gas at some point for a

purpose related to its status and functions as a local

distribution company or intrastate pipeline, or (3) that the gas

will be delivered to a customer that is located within the

local distribution company's service area and the transportation

is being provided on its behalf, or (4) that the gas will be

delivered to a customer that is physically able to receive

direct deliveries of gas from the intrastate pipeline and the

transportation is being provided on its behalf.

Shipper understands that this Request Form, complete and

unrevised as to format, must be received by Transporter before the

transportation request will be accepted and processed. Shipper

further understands that Transporter is an interstate pipeline

subject to the Regulations of the Federal Energy Regulatory

Commission ("Commission"), and that Shipper's request will become

part of a log available for public inspection. Shipper hereby

agrees to pay Transporter's currently effective transportation

rate(s) applicable to this service. In the case of firm supply

requiring the construction of additional facilities, Shipper

agrees to pay rates as approved by the Commission designed, inter

alia, to reimburse Transporter for the cost of construction of

such additional facilities. Shipper also understands that it must

reimburse Transporter for the Commission's filing fee upon receipt

of an invoice thereof. Shipper, by its signature, represents to

Transporter