Millennium Pipeline Company, L. L. C.

Original Volume No. 1

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Effective Date: 12/22/2008, Docket: CP98-150-011, Status: Effective

Original Sheet No. 618 Original Sheet No. 618

 

REQUEST FOR SEGMENTATION

OF EXISTING TRANSPORTATION SERVICE AGREEMENT

MILLENNIUM PIPELINE COMPANY, L.L.C.

 

 

1. Changes are applicable to:

 

Rate Schedule Agreement No.

 

2.

a.Identity of Requestor

 

Legal Company Name _____________________________________________

 

Abbreviation or Short Name (if applicable) ______________________

 

Phone Number ___________________________________________________

 

E-mail Service ________________________________________________

 

b.Identity of Shipper (if different than Requestor)

 

Written documentation must be submitted to support Requestor's legal

authorization to negotiate and/or bind the Shipper contractually.

 

Legal Company Name _____________________________________________

 

Abbreviation or Short Name (if applicable) ______________________

 

Phone Number ________________________________________________

 

Facsimile Number ________________________________________________

 

E-mail Service ________________________________________________

 

3. Requested beginning date for segmentation

 

/ /______

 

4. Requested ending date for segmentation

 

/ /______