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. 373 Original Sheet No. 373

EXHIBIT A

DATED ___________

BETWEEN

AMERICAN MIDSTREAM (MIDLA), LLC

AND

_________________________________

Contract No. ______________

Discount Information

Dated: ______________________________________

Discounted Transportation Rate: ___________________________

Discounted Rate Effective: From: _____________ To: __________________

___ Life of the Reserves

___ Evergreen: ___ Year-to-Year

___ Month-to-Month

Condition for Discounted Transportation Rate (check applicable condition(s)):

____ Discounted Transportation Rate applicable to specified quantities under Customer's

Service Contract(s):

[_____________ Dth]

or

[All quantities produced from oil and Gas leases identified below, located in the Gulf of

Mexico, offshore Louisiana, that are currently dedicated to Midla pursuant to

_______________, Contract No. ______________, by and between

___________________

__________________ [Field or Block]

____ Discounted Transportation Rate applicable to specified quantities above or below a

certain level or all quantities if quantities exceed a certain level:

Discounted Transportation Rate applicable to ________ Dth above/below

_____________ Dth

or

Discounted Transportation Rate applicable to all quantities above ______________ Dth