Kern River Gas Transmission Company

Second Revised Volume No. 1

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Effective Date: 07/01/2000, Docket: RP00-288-000, Status: Effective

Original Sheet No. 352 Original Sheet No. 352 : Effective

 

 

TRANSPORTATION SERVICE REQUEST FORM

(Continued)

 

Contact for Invoices:

 

______________________________________

 

______________________________________

 

______________________________________

 

______________________________________

 

Telephone No.: ______________________________________

Fax No.: ______________________________________

 

 

5. If Shipper is requesting service be performed by Transporter

for Shipper acting as agent for another entity, please

specify the full legal name of such entity.

 

________________________________________________________

 

________________________________________________________

 

*6. (a) Location (i.e. state(s)) of the ultimate Delivery

Point of Gas to be transported:

 

__________________________________________________

 

(b) Location (i.e. state(s)) of the original source of the

Gas to be transported:

 

__________________________________________________

 

(c) The intended use of the Gas is:

 

system supply for ________________________________

 

end use by industry or commerce

 

other (fill in) __________________________________

 

*This information is not required at the time of the request, but

is required at the time Shipper executes the Transportation

Service Agreement.