Midwestern Gas Transmission Company

Third Revised Volume No. 1

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Effective Date: 12/01/2009, Docket: RP10-74-000, Status: Effective

Second Revised Sheet No. 450 Second Revised Sheet No. 450

Superseding: First Revised Sheet No. 450

MIDWESTERN GAS TRANSMISSION COMPANY

THIRD PARTY BALANCING AGREEMENT

RATE SCHEDULE TPB

EXHIBIT A TO THIRD PARTY BALANCING SERVICE AGREEMENT

COMPANY - Midwestern Gas Transmission Company

COMPANY'S ADDRESS - ONEOK Plaza

100 West 5th Street

Tulsa, Oklahoma 74103

BALANCING PROVIDER -

BALANCING PROVIDER'S ADDRESS -

Company DRN

Name of Balanced Point: ______________________________________ ___________

Company DRN

Name of Variable Load Point: _________________________________ ___________

Name of Physical Point(s) Comprising Balanced Point:

Flow Control Company DRN

__________________________________________ Yes _____ No _____ ___________

__________________________________________ _____ _____ ___________

__________________________________________ _____ _____ ___________

Maximum Balancing Quantity: ________________________ Dth/day

Daily Rate: Maximum Rate _______/Dth

Discounted Rate _______/Dth

This Exhibit A is made and entered into as of _______________, 20_____.

120109