American Midstream (Midla), LLC

Sixth Revised Volume No. 1

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Effective Date: 05/01/2010, Docket: RP10-483-000, Status: Effective

Original Sheet No. 348 Original Sheet No. 348

FORM OF SERVICE AGREEMENT

(APPLICABLE TO RATE SCHEDULE ITS-OSF)

EXHIBIT B

To the Agreement under Rate Schedule ITS-OSF between American Midstream (Midla),

LLC (Pipeline) and ___________________________________ (Customer) concerning

Point(s) of Delivery.

Point(s) of Delivery

Dated:__________________________

Point of Maximum Daily Maximum

Delivery Delivery Obligation Delivery Pressure

Signed for Identification

American Midstream (Midla), LLC: _______________________________

Customer: _______________________________

Supersedes Exhibit B Dated: _______________________________