ANR Pipeline Company

Second Revised Volume No. 1

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Effective Date: 11/01/2006, Docket: RP06-613-000, Status: Effective

Seventh Revised Sheet No. 80 Seventh Revised Sheet No. 80 : Effective

Superseding: Sixth Revised Sheet No. 80

ANR PIPELINE COMPANY

TRANSPORTATION SERVICE REQUEST FORM

(Continued)

7. NOTICES

(A) Shipper Notices

Address: _____________________________________

_____________________________________

City, State Zip: _____________________________________

Attn: _____________________________________

E-Mail: _____________________________________

Phone: _____________________________________

Fax: _____________________________________

(B) Invoices and Statements ______ Same as above

Address: _____________________________________

_____________________________________

City, State Zip: _____________________________________

Attn: _____________________________________

E-Mail: _____________________________________

Phone: _____________________________________

Fax: _____________________________________

THIS TRANSPORTATION SERVICE REQUEST IS HEREBY SUBMITTED.

REQUESTOR:

____________________________________ (Name)

____________________________________ (Address)

____________________________________ (City, State Zip)

By: __________________________

Title: __________________________

Date: __________________________

Phone: __________________________ Fax: _________________________