Iroquois Gas Transmission System, L.P.


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Effective Date: 12/14/2006, Docket: RP07- 65-000, Status: Effective

Third Revised Sheet No. 191 Third Revised Sheet No. 191 : Effective

Superseding: Second Revised Sheet No. 191





Name and full title of officer (or general partner) of Shipper

who will execute service agreement with Iroquois: ______________


Contact Person for this request: _______________________________


phone __________________ fax ___________________


Shipper Certification:

Shipper hereby certifies that Shipper has title or current

contractual right to acquire title to the gas supply for which

transportation service is requested, and that Shipper has or will

enter into all contractual arrangements necessary to ensure that

all upstream and downstream transportation is in place prior to

the date on which service is requested to commence.


This form is provided for the convenience of the Shipper in

complying with the transportation request procedures of

Transporter's currently effective FERC Gas Tariff. Nevertheless,

it is Shipper's responsibility to provide all of the information

necessary to satisfy Transporter.



Signed _____________________________ Date ______________________


Print Name _________________________ Date ______________________





*DUNS Numbers are mandatory for capacity release, which will be

done via Iroquois’ EBB. Please call Contracting & Credit

Services Representative at 203-925-7247 if you have any questions

regarding your DUNS number, including whether you currently have

one listed with us from previous solicitations.