Midwestern Gas Transmission Company

Third Revised Volume No. 1

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Effective Date: 01/01/2002, Docket: RP02- 72-000, Status: Effective

Original Sheet No. 488 Original Sheet No. 488 : Effective

SHIPPER CONFIRMATION FORM

MIDWESTERN GAS TRANSMISSION COMPANY

Confirming Party Duns #: ____________________________________ Confirming Party Phone #: _______________________________________

Confirming Party Name: ____________________________________

Cycle (please circle one): Timely Intraday Evening Intraday Cycle 1 Intraday Cycle 2

(9:00 a.m.) (9:00 a.m.) (5:00 p.m.) (9:00 p.m.)

BEGINNING END LOCATION K FLOW UPSTREAM/ UPSTREAM/ SERVICE SERVICE QUANTITY REDUCTION CONFIRM

DATE DATE NAME INDICATOR (R/D) DOWNSTREAM NAME DOWNSTREAM CONTRACT REQUESTOR NAME REQUESTOR CONTRACT Dths REASON SUB CYCLE

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