Michigan Gas Storage Company

Original Volume No. 2

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Effective Date: 01/01/1992, Docket: MT92- 2-000, Status: Effective

First Revised Sheet No.52 First Revised Sheet No.52 : Superseded

Superseding: Original Sheet No.52

 

 

GENERAL TERMS AND CONDITIONS

(Continued)

20.TRANSPORTATION SERVICE REQUEST FORM

 

MICHIGAN GAS STORAGE COMPANY

TRANSPORTATION SERVICE REQUEST FORM

 

Send to: Michigan Gas STorage Company (MGS)

Attention: Director of Gas Supply

1945 West Parnall Road

Jackson, MI 49201

 

Information Required for Valid Transportation Request

_____________________________________________________

 

1. Complete legal name of Shipper:

________________________________________________________________

 

2. Name of Shipper's Representative________________________________________

 

3. Address of Shipper:

_________________________________

_________________________________

_________________________________

Attention:_______________________

Phone: _______________________

 

4. Shipper is:

 

_____ Local Distribution Company

_____ Intrastate Pipeline

 

 

 

 

 

 

 

 

 

 

_____ Interstate Pipeline

_____ Producer

_____ End-User

_____ Marketer

_____ Broker

_____ Other (specify) _________________________________

 

5. Is Shipper affiliated with MGS? yes_____ No_____

If yes, extent of affiliation between MGS and Shipper:

 

_______________________________________________________________

_______________________________________________________________

6.

If the answer to 5, above is yes, does the cost of gas to the involved marketing affiliate(s) of MGS exceed

the price received for the sale of the gas by such marketing affiliate(s) after deducting associated costs,

including those incurred for transportation, (ie, is the gas being sold at a loss)?: Yes _____ No _____

 

If yes, by how much? _____________________________________________________

 

 

 

 

 

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