Kentucky West Virginia Gas Company

Third Revised Volume No. 1

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Effective Date: 07/01/1993, Docket: RS92- 18-004, Status: Effective

Original Sheet No. 306 Original Sheet No. 306 : Superseded

Service Request Form (Continued)

(j) Points of Delivery

Maximum

Daily Total for

Delivery Term of

Obligation Contract

Delivery Point (dth & MCF) (dth & MCF) Name of Party Receiving Gas